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Attachment Code: D679681 Master ID: 1566486, Certificate iD: 22674129 <br />CNA <br />Workers Compensation And Employers Liability Insurance <br />Policy Endorsement <br />BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />AM&M- <br />This endorsement changes the policy to whichitis attached. <br />It is agreed that Part One - Workers' Compensation InsuranceG. Recovery From Othersand Part Two - <br />Employers' FiabilityInsuranceH. Recovery From Others are am ended by adding the following; <br />We will notenforce our right to recover against persons or organizations. (This agreementapplies only to the extent <br />that you perform work under a written contract that requires youtoo btainthis agreementfrom us.) <br />PREMIUM CHARGE -Refer to the Schedule of Operations <br />The charge will bean amount to which you and we agree that is a percentage of the total standard premium for <br />California exposure. The amount is 2°/a. <br />All other terms and conditions of the policy remain unchanged. <br />This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, <br />takes effect on the Policy Effective Date of said policy atthe hour stated in said policy, unless another effective <br />date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another <br />expiration date is shown below. <br />Farm No: G-19160-D 1`11-1997) <br />Endorsement Effective date: Endorsement Expiration Date: <br />Endorsement No: ; Page: 1 of 1 <br />U n d e rv.riti n g Company: The Continental Insurance Company, 151 N Franldin 9t, Chicago, IL 60606 <br />Copyright CI+lAAII Rights R-eservad„ <br />Policy No: WC 35454669 `I <br />Policy EfFective Date: 01,101,12026 <br />