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WAIVER OF OUR RIGHTTO RECOVER FROM OTHERS ENDORSEMENT- <br />C4LUFORNIA <br />We have the right to recover our payments from anyone liable for an injury covered by this poiicy. We will not <br />enforce our right against the person or organization parr in the Schedule. (This agreement applies only to the <br />extent that you perform work Linder 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 prerniUM 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 <br />Job Description <br />AS <br />REQUIRED BY WRITTEN <br />CONTRACT OR <br />AGREEMENT, EXECUTED <br />PRIOR TO LOSS, <br />EXCEPT' WHERE SUCH <br />CONTRACTS OR <br />AGREEMENTS ARE NOT <br />PERMITTED BY LAW. <br />Polucy Nurnber: WC3889013 <br />REVIEf4��_[_) & APPROVED <br />Uv Rid ANAGFMFINT MWON <br />WC 252 t4-84) 2 0 2019 <br />WC 04 03 06 (Ed, 4-94) <br />Page I of: I <br />NEUMUNKIMEMIEM <br />