0456 00 0113 (XWC)
ENDORSEMENT
BLANKET WAIVER OF SUBROGATION
Effective 12:01 A.M., Local Time, July 01, 2024
In consideration of the payment of premium and adherence by both parties to the terms of this Agreement, it is hereby understood and agreed that the Recovery From Others section of this Agreement is amended to include the following additional language:
The CORPORATION has the right to pursue subrogation recoveries from anyone liable for an injury covered by this Agreement. The CORPORATION will not enforce its right against any person or organization for whom the EMPLOYER performs work under a written contract that requires the EMPLOYER to obtain this agreement from the CORPORATION.
All other terms, conditions, agreements and stipulations remain unchanged.
Attached to and forming a part of Excess Workers’ Compensation and Employers’ Liability Insurance Agreement No. SP 4067547, issued by SAFETY NATIONAL CASUALTY CORPORATION of St. Louis, Missouri to THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA, ET AL, dated July 01, 2024. Endorsement No. 0456 00 0113 (XWC)
SAFETY NATIONAL CASUALTY CORPORATION
President
Secretary
Docusign Envelope ID: CF678C84-3F92-86B1-8237-C8AB7641EAD8