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Attachment Code: D661115 Master ID: 1533716,Certificate ID:20838512 Workers Compensation And Employers Liability Insurance CNA Policy Endorsement BLANKET WAIVER OF OUR • RECOVESR0f1&QZk&k- This endorsement changes the policy to which it is attached. It is agreed that Part One -Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 3%. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No:G-19160-B(11-1997) Policy No: WC 7 63803679 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date:01/01/2025 Endorsement No:5;Page: 1 of 1 Policy Page: 17 of 20 Underwriting Company: The Continental Insurance Company, 151 N Franklin St,Chicago, IL 60606 ©Copyright CNA All Rights Reserved.