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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 0403 06 <br />(Ed. 4-84) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br />our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br />you 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 white engaged in the <br />wont described in the Schedule. <br />The additional premium for this endorsement shall be 5 % of the California workers' Compensation premium <br />otherwise due on such remuneration. <br />Schedule <br />Person or Orggntzatron <br />City of Santa Ana, its officers, employees an agents and representatives are <br />add'R'ional insureds with respect to general liability and auto liability per TRAFFIC DATA <br />the attached endorsements oral required by written contract <br />Insurance is primary and Non -Contributory. <br />This endorsement changes the pdicy to which it is aWa ed and is efieclive on the date issued unless olhelwise state t <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement Effective <br />Insured <br />AIMTD, LLC <br />751 S WER CANYON RD STE 1S7.158 <br />ANAHEIM, CA 928M <br />WC 04 03 06 <br />(Ed. 4-94) <br />Policy No.92-GA-D96G-8 Endorsement No. <br />Insurance Company Stare Farm General Insurance Company <br />Countersigned By <br />& APPROVED <br />IcirMFM DiviSfON <br />20 2019 <br />Printed in D S.A. <br />M. LAMBERT <br />