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Policy Number: WC014633002 <br />VVORKEMYCOMPENSATION AND EMPLOYERV LIABfLn,y wsuRANa PoLicy WC 04 03 06 <br />MTME& <br />We have the right %) recover our payments from anyone liable for an injury covered by this policy. We will not <br />enforce our right against the person or organization earned in the $Osdufo, (This agreement applies Only to the <br />extent that you perform work under a written contract that requires you to obtain this agreement from us,) <br />You mirst maint'Win payroll records accurately segreg <br />the, work described in the Schedule. , , abr}g the remuneration of your employees while engaged in <br />The additional premium for this endorsement shall he 0 '/P of the California workers' compensation pre. <br />rniurn otherwise due oil such remuneration. <br />ZEMEM�� <br />IM <br />WC 2U (4-84� <br />WC 04 W of, (Ed, 4 en Page T 0 1 <br />