CTR064872-WCWOS.pdf

This document is a Waiver of Right to Recover from Others Endorsement issued by The Hanover Insurance Group, specifically related to the Arizona Department of Economic Security. The endorsement is a workers' compensation insurance document that modifies the standard insurance policy's subrogation rights.

The endorsement outlines the insurance company's limited right to recover payments from parties liable for an injury covered by the policy. Specifically, the waiver applies only when the injured party performs work under a written contract requiring them to obtain this agreement. The document is designed to modify the standard insurance policy's terms, with the key limitation being that the waiver shall not directly or indirectly benefit anyone not specifically named in the Schedule. The endorsement is dated from 1983, as indicated by the copyright notice from the National Council on Compensation Insurance.