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Docusign Envelope ID: FC72E12A-E2DD-42C4-BD36-C422ACOA54D2 <br />BETA Risk Management Authority ("BETARMA") <br />A Public Entity <br />AMENDMENT <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />Issued to: Axis Community Health, Inc. <br />Effective Date: I Expiration Date: <br />07/01/2022 at 12:01 a.m. <br />07/01/2023 at 12:01 a.m. <br />Certificate Number: Amendment No.: <br />WC-22-1064 2022/2023-06 <br />Additional Contribution: <br />Per Contract <br />This amendment changes the contract to which it is attached effective on inception date of <br />the Coverage Contract. <br />BETARMA has the right to recover payments it makes from anyone liable for an injury <br />covered by this Coverage Contract. BETARMA will not enforce its right against the <br />person or organization named in the Schedule. This amendment applies only to the extent <br />work performed under a written contract requires the Member to obtain this agreement <br />from BETARMA. <br />This endorsement does not apply to benefits or damages paid or claimed because of <br />injury occurring before the Member entered into such a contract. <br />This agreement shall not operate directly or indirectly to benefit any one not named in the <br />Schedule. <br />Schedule <br />Any person or organization with whom the Member entered into a contract, a condition of <br />which requires the Member to obtain this waiver from BETARMA. <br />ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED <br />WC_EL (07/19) <br />