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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET <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 />The additional premium for this endorsement shall be <br />otherwise due. <br />Person or Organization <br />ANY PERSON / ORG <br />WHEN REQUIRED BY <br />WRITTEN CONTRACT <br />3 % of the total California Workers' Compensation premium <br />Schedule <br />Job Description <br />ALL CA OPERATIONS <br />This endorsement changes the policy to which it !s attached and is effective on the date issued unless otherwise slated. <br />(The InforrnoWn below Is required only when this endorsement is Issued subsequent to preparation of the poicy,) <br />Endorsement Effective 06/03/2020 Policy No. WVE 5030354 05 Endorsement No. <br />Insured CROSSTOWN ELECTRICAL iE�iE�VED &APPROVED Premium $ INCL. <br />Insurance Company INSURANCE CObnWisb1AA1rP$E ivisi0N <br />JUNfttfitsigne4By (`%y <br />ULU _ .: <br />WC 99 06 34 ANGiE AcEvEdo <br />(Ed. 8-0O) <br />IAVL <br />