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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 31 <br /> (Ed.6-20) <br /> BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA <br /> We have the right to recover our paymentsfrom anyone liable for an injury covered by this policy.We will not enforce our right <br /> against the person or organization named in the Schedule.(This agreement applies only to the extent that you perform work <br /> under a written contract that requires you to obtain this agreement from us.) <br /> The additional premium for this endorsement shall be 3-0%of the California workers compensation premium otherwise due <br /> on such remuneration,subject to a minimum charge of 250 <br /> All written contracts in the state(s)of- <br /> CA <br /> APPROVED <br /> By Cynthia Mora at 10:37 am, Dec 04, 2024 <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br /> Endorsement Effective 02/15/24 Policy No.A0950-54-51 Endorsement No. <br /> Insured IWATER,INC <br /> (DBA)IWATER INC. <br /> 12 GOODYEAR STE 130 Insurance Company MID-CENTURY INSURANCE COMPANY <br /> IRVINE CA926183747 <br /> Countersigned By <br /> 6�1 <br /> WC990631 <br /> (Ed.6-20) <br /> Includes copyright material of the Workers Compensation Insurance Rating Bureau of California.All rights reserved. <br />