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WAIVER OF OUR RIGHT TO 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 2% of the California workers' compensation premium <br />otherwise due on such remuneration. <br />Schedule <br />Additional premium is a percent of the California Manual Workers Compensation premium. Subject to a minimum <br />premium charge of $250 per policy. <br />Person or Organization <br />Where required by contract or <br />written agreement prior to loss and <br />allowed by law. <br />Issued by LM Insurance Corporation 27243 <br />For attachment to Policy No. WA5-61 D-260451-051 <br />Issued to LAZ Parking California, LLC <br />WC 04 03 06 R1 <br />Ed. 08/01 /2013 <br />Effective Date 7-31-21 <br />Job Description <br />Premium $ <br />Endorsement No. <br />�oRaN <br />3 <br />RiskMwagemedDMsiun <br />REVIEWED & APPROVED BY.- <br />r <br />Risk Management Analyst <br />