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WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- <br /> CALIFORNIA <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 /> You must maintain payroll records accurately segregating the remuneration of your employees while engaged in <br /> the work described in the Schedule. <br /> The additional premium for this endorsement shall be 2.00% of the California workers' compensation premium <br /> otherwise due on such remuneration. <br /> Schedule <br /> Additional premium is a percent of the California Manual Workers Compensation premium. Subject to a minimum <br /> premium charge of$250 per policy <br /> Person or Organization Job Description <br /> Where required by contract or Any <br /> written agreement prior to loss and <br /> allowed by law. <br /> Issued by LM Insurance Corporation <br /> For attachment to Policy No.WC5-661-067465-015 Effective Date 7:1-25 Premium$ <br /> Endorsement No. <br /> WC 04 03 06 R1 Page 1 of 1 <br /> Ed. 08/01/2013 <br />