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WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 <br />WAIVER OF OUR RIGHTTO RECOVER FROM OTHERS ENDORSEMENT— <br />CALIFORNIA <br />We have the right to 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 named in the Schedule. (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 must maintain payroll records accurately segregating the remuneration of your employees while engaged in <br />the work described in the Schedule. <br />The additional premium for this endorsement shall be 0 % of the California workers' compensation pre- <br />mium otherwise due on such remuneration. <br />Schedule <br />Person or Organization Job Description <br />WHEN REQUIRED BY A PERFORMS TRAFFIC DATA COLLECTION <br />WRITTEN CONTRACT AND ANALYSTS <br />National Data and Surveying Services <br />DBA All Traffic Data <br />Policy 8: P0014-CE191653604C <br />Effective Date: 09/17/2019 to 09/17/2020 <br />REVIEWED & APPROVED <br />By frisk MIANA(t emcvT DivisioN <br />PI3ANCINE 4. VILLAREAL <br />WC 252 (4-84) <br />WC 04 03 06 (Ed. 4-84) Pago 1 of 1 <br />