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N:ORKERS COMPENSATION AND EMPLOYERS LIABILI'ry INSURANCE POLICY <br />WC 04 03 06 <br />(Ed. 04-84) <br />ERDORSEMENT- <br />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 while engaged In the <br />work 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 ORGANIZATION JOB DESCRIPTION <br />HEW HOLDINGS, LLC, A DELAWARE FUNDING <br />LIMITED LIABILITY COMPANY, AND ITS <br />MEMBERS, MANAGERS, OFFICERS, <br />EMPLOYEES, SUCCESSORS AND ASSIGNS, <br />ETC. <br />2320 REDHILL AVE., SANTA ANA, CA <br />92705. <br />1998 by the Workers' CwnpeneaAon Insurance Rating Bureau of Callfornia. All rights reserved. <br />From the WCIRB's California Workers' Compensation Insurance Forms Manual 1999. <br />IN SIiR Fn <br />