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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WC 99 06 34 <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET <br />(Ed. 8-00) <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 />The additional premium for this endorsement shall be 2% of the total California Workers' Compensation premium <br />otherwise due. <br />Person or Organization <br />ANY PERSON / ORGANIZATION <br />WHEN REQUIRED BY WRITTEN <br />CONTRACT <br />Policy Number: WSD 5088419 00 <br />Endorsement Effective: 02/12/2026 <br />Issue Date: 02/12/2026 <br />Schedule <br />Job Description <br />ALL CA OPERATIONS <br />Insured: M. Brey, Inc. <br />Coverage Provided by: Insurance Co of the West <br />Countersigned by: <br />WC 99 06 34 <br />(Ed. 8-00) <br />