CTR066188_WC_25-26_WOS_State_of_Arizona.pdf

This document is a Workers Compensation and Employers Liability Insurance Policy Waiver of Right to Recover from Others Endorsement issued by the PA Manufacturer's Association Insurance Company. The policy involves the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, with specific mention of the Department of Economic Security located in Indianapolis, Indiana.

The endorsement, effective 8/19/2025, is for Alice's Place Inc, with policy number WCAZ00093002. The document specifically outlines a waiver that prevents the insurance company from recovering payments from the named entities for injuries covered under the policy, but only to the extent that work is performed under a written contract requiring such an agreement. The policy appears to be a standard workers compensation insurance document that provides liability protection and limits subrogation rights for the specified Arizona state entities and the insured organization.