Waiver of Subrogation.pdf

This document is an Endorsement for a Blanket Waiver of Subrogation issued by Safety National Casualty Corporation of St. Louis, Missouri, effective July 1, 2019. The endorsement is attached to an Excess Workers' Compensation and Employers' Liability Insurance Agreement, specifically numbered SP 4061085, and is issued to the Arizona Counties Insurance Pool Workers' Compensation Fund.

The endorsement modifies the "Recovery From Others" section of the original agreement, granting the Corporation the right to pursue subrogation recoveries for injuries covered under the agreement. Notably, the Corporation agrees not to enforce its subrogation rights against any person or organization for whom the Employer performs work under a written contract that requires obtaining this specific agreement. The document maintains all other original terms, conditions, and stipulations of the underlying insurance agreement unchanged.