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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4-84) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br />our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br />you perform work under a written contract that requires you to obtain this agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Schedule <br />ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN <br />CONTRACT, OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE <br />ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS <br />POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement Effective 10-01-24 Policy No. WC 0136774-10 <br />Insured PEET' S COFFEE, INC. <br />Insurance Company AMERICAN ZURICH INSURANCE COMPANY <br />Countersigned By <br />WC 00 03 13 <br />(Ed. 4-84) <br />© 1983 National Council on Compensation Insurance. <br />ATTY/AGR.2025.204/Peet's Coffee (2600 Broadway) (Page 22 of 32) <br />Endorsement No. <br />Premium $ INCL. <br />