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1st Amendment 03/16/2022 DATE: March 21, 2022 TO: Christine Hurley Executive Director ATTN: Dina Gambuzza Office Manager FROM: Liz Yongue, Deputy Clerk th SUBJECT: March 16 BOCC Meeting Enclosed is an electronic copy of the following item for your handling: H1 1st Amendment to the Agreement between Monroe County and Tetra Tech, Inc., extending the end date of the term to October 20, 2024, and changing the pricing schedule to reflect adjustments to rates for Grant Management Services for the Community Development Block Grant-Disaster Recovery (CDBG-DR) Voluntary Home Buyout Program funded through CDBG-DR funds. Should you have any questions, please feel free to contact me at (305) 292-3550. cc: County Attorney Finance File AMENDMENT ONE TO AGREEMENT FOR GRANT MANAGEMENT SERVICES BETWEEN MONROE COUNTY AND TETRA TECH INC. This Amendment (ÐAmendment OneÑ) is made and entered into this _______ day of March, 2022 by 27ui and between MONROE COUNTY (ÐCOUNTYÑ), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida, 33040, thorough the Monroe County Board of County Commissioners (ÐBOCCÑ), AND Tetra Tech, Inc. a Corporation of the State of Delaware whose address is 2301 Lucien Way, Suite 120, Maitland, Florida, 32751, its successors and assigns, hereinafter referred to as ÐCONTRACTORÑ or ÐCONSULTANT.Ñ WITNESSETH: WHEREAS, the Agreement for Grant Management Services (ÐAGREEMENTÑ) between Tetra Tech, Inc. and the COUNTY was entered into the 21st day of October 2020; NOW THEREFORE, in consideration of the mutual promises contained herein, the AGREEMENT is amended as follows: Section 1. Recitals and Legislative Intent. The Foregoing recitals, findings of fact, and statements of legislative intent are true and correct and are hereby incorporated as if fully stated herein. Section 2. The AGREEMENT is amended as follows: Article 1, Paragraph 1.1.9 The effective date of this AGREEMENT shall be October 21, 2020, with an original term date of October 21, 2022. The COUNTY is extending this AGREEMENT for an additional two (2) years at the same terms and conditions. The new termination date is October 20, 2024. The COUNTY shall have the option of extending the AGREEMENT in one-year increments for up to two (2) years at the same terms and conditions with approval of the COUNTYÓs governing board. Such extension( s) shall be in the form of a written Amendment to the AGREEMENT and shall be executed by both parties Attachment A Î Scope of Work and Pricing: The Pricing Tables are hereby deleted in their entirety and replaced with the following: tğŭĻ 1 ƚŅ 3 Amendment One Pricing Revised Hourly Rate Schedule 9ƭƷźƒğƷĻķ /ƚƭƷ ĬǤ \[ğĬƚƩ /ğƷĻŭƚƩǤ ΝЊΞ ΝЋΞ tƚƭźƷźƚƓ 5ĻƭĭƩźƦƷźƚƓ IƚǒƩƌǤ wğƷĻ ΝЌΞ 9ƭƷźƒğƷĻķ IƚǒƩƭ 9ƭƷźƒğƷĻķ ƚƷğƌ Project Manager $165 2,785 $459,525 Grants Technician II $140 218 $30,520 Grants Technician I $135 379 $51,165 Administrative Specialist $100 0 $0 Senior Case Manager $120 2,352 $282,240 Intake/Case Worker Specialist $85 1772 $150,620 Information Technology and Data $90 809 $72,810 Management Specialist Financial Manager $210 2 $420 Grant Compliance $275 0 $0 Quality Assurance Specialist $120 237 $28,440 Planning and Program Support Subject Matter $250 97 $24,250 Experts (SME) Reporting Analyst $240 0 $0 Relocation Specialist $180 0 $0 Total $1,099,990 ΝЊΞ ŷĻ ğĬƚǝĻ ĻƭƷźƒğƷĻķ ƌĻǝĻƌ ƚŅ ĻŅŅƚƩƷ ğƓķ ğƭƭƚĭźğƷĻķ ĭƚƭƷƭ ğƩĻ ĬğƭĻķ ƚƓ ğǝğźƌğĬƌĻ źƓŅƚƩƒğƷźƚƓ ğƷ ƷŷĻ ƷźƒĻ ƷŷĻ ĻƭƷźƒğƷĻƭ ǞĻƩĻ ƦƩĻƦğƩĻķ ğƓķ ķƚ ƓƚƷ ƩĻƦƩĻƭĻƓƷ ƷŷĻ ğĭƷǒğƌ ĭƚƭƷ ƚŅ ƷŷĻ ƦƩƚƆĻĭƷ͵ ŷĻ ŅĻĻ ŅƚƩ ƭĻƩǝźĭĻƭ Ǟźƌƌ ĬĻ ĬğƭĻķ ƚƓ ƷŷĻ ğĭƷǒğƌ ŷƚǒƩƭ ƚŅ ƭĻƩǝźĭĻƭ ŅǒƩƓźƭŷĻķ ƒǒƌƷźƦƌźĻķ ĬǤ ĻƷƩğ Ļĭŷγ ƭ ŷƚǒƩƌǤ ƩğƷĻƭ͵ ΝЋΞ ĻƷƩğ Ļĭŷ ƒğǤ ƷğƉĻ ƷŷĻ ŅƚƌƌƚǞźƓŭ ğĭƷźƚƓƭͲ źƓ źƷƭ ķźƭĭƩĻƷźƚƓͲ ƭƚ ƌƚƓŭ ğƭ ĻƷƩğ Ļĭŷ ķƚĻƭ ƓƚƷ ĻǣĭĻĻķ ƷŷĻ ĻƭƷźƒğƷĻķ ƷƚƷğƌʹ Λ źΜ ƭĻ ŅĻǞĻƩ ŷƚǒƩƭ ƚŅ ƚƓĻ ƌğĬƚƩ ĭğƷĻŭƚƩǤ ğƓķ ƒƚƩĻ ŷƚǒƩƭ ƚŅ ğƓƚƷŷĻƩ ƌğĬƚƩ ĭğƷĻŭƚƩǤ ƚƩ ĭğƷĻŭƚƩźĻƭ ğƓķΛ źźΜ ǒƭĻ ŅĻǞĻƩ ŷƚǒƩƭ ǞźƷŷźƓ ƚƓĻ ƦƩƚƆĻĭƷ ƷğƭƉ ğƓķ ƒƚƩĻ ŷƚǒƩƭ ǞźƷŷźƓ ğƓƚƷŷĻƩ ƦƩƚƆĻĭƷ ƷğƭƉ͵ ΝЌΞ ŷĻ ŷƚǒƩƌǤ ƩğƷĻƭ ğƩĻ ŅǒƌƌǤ ĬǒƩķĻƓĻķ Ʒƚ źƓĭƌǒķĻ ƚǝĻƩŷĻğķͲ ƦƩƚŅźƷͲ ƷƩğǝĻƌ ĻǣƦĻƓƭĻƭͲ ƦƩƚŭƩğƒ ƦƩźƓƷźƓŭͲ ğƓķ ƒğźƌźƓŭ ĭƚƭƷ͵ The remainder of the terms and conditions of the AGREEMENT remain unchanged by this Amendment, and continue in full force and effect. Remainder of page intentionally left blank tğŭĻ 2 ƚŅ 3 21/7/3132 Policy No.Eff. Date of Pol.Exp. Date of Pol.Eff. Date of End.Producer No.Return Prem. GLO1817406-010/01/2010/01/20210/01/2075272000N/AN/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Location and Description ofAdditional Name of Person or Organization: Ongoing Operations:Premium: Any person or organization to whom or to which you Any location or project, other than a wrap-up or other N/A are required to provide additional insured status in a consolidated insurance program location or project written contract or written agreement executed prior for which insurance is otherwise separately provided to the loss, except where such contract or agreement to you by a wrap-up or other consolidate insurance is prohibited by law. program. A.Section II Who Is An Insuredis amended to include as an insured anyperson or organization shown in the Scheduleof this endorsement, but only with respect to liability arising out of your ongoing operations performed for that insuredator from thecorresponding location designated and described in the Schedule. However, if you have entered into a construction contract with an additional insured person or organization shown in the Schedule of this endorsement, the insurance afforded to such additional insured only applies to the extent permitted by law. B.With respect to the insurance afforded to anyadditional insuredshown in the Schedule of this endorsement, the following additional exclusionapplies: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s)at the site of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions of this policy remain unchanged. U-GL-1465-DCW(12-13) Page 1of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Policy No.Eff. Date of Pol.Exp. Date of Pol.Eff. Date of End.Producer No.Return Prem. GLO1817406-010/01/2010/01/20210/01/2075272000N/AN/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Location and Description ofAdditional Name of Person or Organization: CompletedOperations:Premium: Any person or organization to whom or to which you Any location or project, other than a wrap-up or other N/A are required to provide additional insured status in a consolidated insurance program location or project written contract or written agreement executed prior for which insurance is otherwise separately provided to the loss, except where such contract or agreement to you by a wrap-up or other consolidate insurance is prohibited by law. program. Section II Who Is An Insuredis amended to include as an insured anyperson or organization shown in the Schedule of this endorsement, but only with respect to liability arising out of "your work" at or from the corresponding location designated and described in the Schedule performed for that insured and included in the "products-completed operations hazard". However, if you have entered into a construction contract with anadditional insured person or organization shown in the Schedule of this endorsement,the insurance afforded to such additional insured only applies to the extent permitted by law. All other terms and conditions of this policy remain unchanged. U-GL-1466-DCW(12-13) Page 1of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Other Insurance Amendment – Primary And Non- Contributory Policy No.Eff. Date of Pol.Exp. Date of Pol.Eff. Date of End.Producer No.Add’l. PremReturn Prem. GLO 1817406-010/01/2010/01/2010/01/2075272000N/AN/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address (including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1.The following paragraph is added to the Other Insurance Condition of Section IV – Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policyprovided that: a.The additional insured is a Named Insured under suchother insurance; and b.You are required by awrittencontract or written agreement that this insurance would be primaryand wouldnot seek contribution from anyother insuranceavailable to the additional insured. 2.The following paragraph is added to Paragraph 4.b.of the Other Insurance Condition of Section IV – Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense,claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. U-GL-1327-BCW (04/13) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. QPMJDZ!OVNCFS;!DPNNFSDJBM!HFOFSBM!MJBCJMJUZ! DH!35!15!16!1:! XBJWFS!PG!USBOTGFS!PG!SJHIUT!PG!SFDPWFSZ!! BHBJOTU!PUIFST!UP!VT! Uijt!foepstfnfou!npejgjft!jotvsbodf!qspwjefe!voefs!uif!gpmmpxjoh;!! DPNNFSDJBM!HFOFSBM!MJBCJMJUZ!DPWFSBHF!QBSU! QSPEVDUT0DPNQMFUFE!PQFSBUJPOT!MJBCJMJUZ!DPWFSBHF!QBSU! TDIFEVMF! Obnf!Pg!Qfstpo!Ps!Pshboj{bujpo;!! BOZ!QFSTPO!PS!PSHBOJ\[BUJPO!UIBU!SFRVJSFT!ZPV!UP!XBJWF!ZPVS!SJHIUT!PG!! SFDPWFSZ-!JO!B!XSJUUFO!DPOUSBDU!PS!BHSFFNFOU!XJUI!UIF!OBNFE!JOTVSFE!!! UIBU!JT!FYFDVUFE!QSJPS!UP!UIF!BDDJEFOU!PS!MPTT/!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Jogpsnbujpo!sfrvjsfe!up!dpnqmfuf!uijt!Tdifevmf-!jg!opu!tipxo!bcpwf-!xjmm!cf!tipxo!jo!uif!Efdmbsbujpot/! Uif!gpmmpxjoh!jt!beefe!up!Qbsbhsbqi!9/!Usbotgfs!Pg! Sjhiut!Pg!Sfdpwfsz!Bhbjotu!Puifst!Up!Vt!pg!Tfdujpo! JW!....!Dpoejujpot;! Xf!xbjwf!boz!sjhiu!pg!sfdpwfsz!xf!nbz!ibwf!bhbjotu! uif!qfstpo!ps!pshboj{bujpo!tipxo!jo!uif!Tdifevmf! bcpwf!cfdbvtf!pg!qbznfout!xf!nblf!gps!jokvsz!ps! ebnbhf!bsjtjoh!pvu!pg!zpvs!pohpjoh!pqfsbujpot!ps! #zpvs!xpsl#!epof!voefs!b!dpousbdu!xjui!uibu!qfstpo! ps!pshboj{bujpo!boe!jodmvefe!jo!uif!#qspevdut. dpnqmfufe!pqfsbujpot!ib{bse#/!Uijt!xbjwfs!bqqmjft! pomz!up!uif!qfstpo!ps!pshboj{bujpo!tipxo!jo!uif! Tdifevmf!bcpwf/!! DH!35!15!16!1:!!Jotvsbodf!Tfswjdft!Pggjdf-!Jod/-!3119!!Qbhf!2!pg!2! POLICYNUMBER:BAP1857085-0 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are insureds for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION TO WHOM OR WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS OR ADDITIONAL INSURED STATUS ON A PRIMARY, NON-CONTRIBUTORY BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is only to the extent that person or organization qualifies contained in ParagraphA.1. of Section IICovered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms andParagraph D.2.of SectionICovered Autos Coveragesof the Auto Dealers Coverage Form. CA 20 48 1013© Insurance Services Office, Inc.,2011Page 1 of 1 POLICYNUMBER:BAP 1857085-0 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OFRECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: EndorsementEffectiveDate: SCHEDULE Name(s)Of Person(s) Or Organization(s): ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY Information required to complete this Schedule, if notshown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Uscondition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior that person or organization. CA 04 44 10 13©Insurance Services Office, Inc.,2011Page 1of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICYWC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION WC 00 03 13 (Ed. 4-84) 1983 National Council on Compensation Insurance. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICYWC 42 03 04 B (Ed. 6-14) TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1.()Specific Waiver Name of person or organization ()Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2.Operations: ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION. 3.Premium: The premium charge for this endorsement shall be percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4.Advance Premium: WC 42 03 04 B (Ed. 6-14) © Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. XPSLFST!DPNQFOTBUJPO!BOE!FNQMPZFST!MJBCJMJUZ!JOTVSBODF!QPMJDZ!XD!54!14!16! )Fe/!8.11*! VUBI!XBJWFS!PG!TVCSPHBUJPO!FOEPSTFNFOU! Uijt!foepstfnfou!bqqmjft!pomz!up!uif!jotvsbodf!qspwjefe!cz!uif!qpmjdz!cfdbvtf!Vubi!jt!tipxo!jo!Jufn!4/B/!pg!uif! Jogpsnbujpo!Qbhf/! Xf!ibwf!uif!sjhiu!up!sfdpwfs!pvs!qbznfout!gspn!bozpof!mjbcmf!gps!bo!jokvsz!dpwfsfe!cz!uijt!qpmjdz/!Xf!xjmm!opu!fogpsdf! pvs!sjhiu!bhbjotu!uif!qfstpo!ps!pshboj{bujpo!obnfe!jo!uif!Tdifevmf/!)Uijt!bhsffnfou!bqqmjft!pomz!up!uif!fyufou!uibu! zpv!qfsgpsn!xpsl!voefs!b!xsjuufo!dpousbdu!uibu!sfrvjsft!zpv!up!pcubjo!uijt!bhsffnfou!gspn!vt/*! Uijt!bhsffnfou!tibmm!opu!pqfsbuf!ejsfdumz!ps!joejsfdumz!up!cfofgju!bozpof!opu!obnfe!jo!uif!Tdifevmf/!Pvs!xbjwfs!pg! sjhiut!epft!opu!sfmfbtf!zpvs!fnqmpzfft(!sjhiut!bhbjotu!uijse!qbsujft!boe!epft!opu!sfmfbtf!pvs!bvuipsjuz!bt!usvtuff!pg! dmbjnt!bhbjotu!uijse!qbsujft/! Tdifevmf! BMM!QFSTPOT!BOE0PS!PSHBOJ\[BUJPOT!UIBU!BSF!SFRVJSFE!CZ XSJUUFO!DPOUSBDU!PS!BHSFFNFOU!XJUI!UIF!JOTVSFE-!FYFDVUFE!!!! QSJPS!UP!UIF!BDDJEFOU!PS!MPTT-!UIBU!XBJWFS!PG!TVCSPHBUJPO!!! CF!QSPWJEFE!VOEFS!UIJT!QPMJDZ!GPS!XPSL!QFSGPSNFE!CZ!ZPV!GPS! UIBU!QFSTPO!BOE0PS!PSHBOJ\[BUJPO/ XD!54!14!16! )Fe/!8.11*!! !3111!Obujpobm!Dpvodjm!po!Dpnqfotbujpo!Jotvsbodf-!Jod/! WORKERSCOMPENSATIONANDEMPLOYERSLIABILITYINSURANCEPOLICYWC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION WC 00 03 13 (Ed. 4-84) 1983 National Council on Compensation Insurance.