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Policy Number. 72 WEC KU6780 Endorsement Number: <br />Effective Date: 04/11/18 Effective hour is the same as stated on the Information Page of the policy, <br />Named Insured and Address: AESCO INC. <br />17782 GEORGETOWN LN <br />HUNTINGTON BEAC CA 92647 <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our <br />right against the person or organization named in the Schedule. (This agreement applies only to the extent that you <br />perform work under a written contract that requires you to obtain this agreement from us.) <br />You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work <br />described In the Schedule. <br />The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due <br />on such remuneration. <br />60«�:ffiI€1� <br />103�� <br />Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights <br />from us <br />Form WC 04 03 06 (1) Printed in U.S.A. <br />Process Date: 03/02/18 <br />Policy Expiration Date: 04111119 <br />