Laserfiche WebLink
Waiver Of Subrogation (Workers Compensation Policy) <br />BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />This endorsement changes the policy to which it is attached. <br />It is agreed that Part One - Workers’ Compensation Insurance G. Recovery From Othersand Part Two - Employers’ Liability <br />Insurance H. Recovery From Othersare amended by adding the following: <br />We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you <br />perform work under a written contract that requires you to obtain this agreement from us.) <br />PREMIUM CHARGE - Refer to the Schedule of Operations <br />The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California <br />exposure. The amount is Blanket Waiver of Subrogation Percentage Charge%. <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, takes effect on <br />the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective <br />Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. <br />Form No: G-19160-B(11-1997) <br />Policy No:7034395505/ 7034395522 <br />Endorsement EffectiveDate:9/1/25Endorsement Expiration Date:9/1/25 <br />Policy Effective Date:9/1/25 <br />Endorsement No:1 <br />© Copyright CNA All Rights Reserved. <br /> <br />