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CNA <br /> BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br /> I <br /> This endorsement changes the policy to which it is attached. <br /> It is agreed that Part One-Workers'Compensation Insurance G.Recovery From Others and Part Two- <br /> Employers' Liability Insurance H.Recovery From Others are amended by adding the following: <br /> We will not enforce our right to recover against persons or organizations. (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 /> 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 <br /> California 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, <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 /> ,9-1"x Risk Management Divis[on <br /> REVIEWED&APPROVED BY: ?j <br /> Policy#:7034507011 `h '' I t gGeveido <br /> i=3Polic Eff/Exp Date:09/28/2023-09 28 2024 Risk Management Specialist <br /> Carrier:CNA / 1 <br /> Writing Company:Valley Forge Insurance Co. <br /> © Copyright CNA All Rights Reserved. <br />