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CDCE Inc <br />WC416477777 <br />CNA Workers Compensation And Employers Liability Insurance <br />Policy Endorsement <br />BLANKET WAIVER OF OUR • RECOVER FROMOTHERS <br />This endorsem t changes the polio to which it is attached. Q19ital I Saned <br />It is agreed t t rt n or rs C nsation Insurance �3. From Otha�Fs and Pe+�! Two - <br />Employers' i i I ur H o ry rom Others are al le ed by a Ing the followin �^Q� �'`� <br />We will not enforce our righ cover against persons or o, d, r by <br />Ac nlyvoud1.A 0 <br />extent that you perform work under a written contract that aqu.'es you to obtain agreement from us.) <br />PREMIUM CH GE - Refer to the Schedule of Ope tions <br />The charge ace <br />o hiw F <br />California ex su a ount i - <br />Date: 2024.07.22 <br />at is a percentau,, of the total standard premium for <br />All other terms and conditions of the policy rem, In .unchanged. <br />14:34:01 -07'00 1 <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 at the hour stated in said policy, unless another <br />effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy <br />unless another expiration date is shown below. <br />Form No: G-19160-B (11-1997) <br />Endorsement Effective Date: Endorsement Expiration Date: <br />Endorsement No: Page: 1 of 1 <br />Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL <br />60606 <br />" - ," Risk Management D'Msian <br />a ; REVIEWED & APPROVED BY. <br />x <br />Ag�z Acev44 <br />�1 Risk Management Specialist <br />© Copyright CNA All Rights Reserved. <br />