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<br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br /> <br />This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different <br />date is indicated below. <br /> <br />(The following "attaching clause" needs to be completed only when this endorsement is issued subsequent to preparation of the policy.) <br /> <br />This endorsement forms a part of Policy No. WVA7750525 <br /> <br />Issued to: Choate Parking Consul tants, Inc. <br /> <br />By: St. Paul Fire & Marine Ins. Co. <br /> <br />Premium (if any) TBD <br /> <br />We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our <br />right against the person or organization named in the Schedule. (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 /> <br />You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work <br />described in the Schedule. <br /> <br />The additional premium for this endorsement shall be 2-5% of the California workers compensation premium otherwise <br />due on such remuneration. <br /> <br />Schedule <br /> <br />Person or Organization <br /> <br />Job Description <br /> <br />Re: Santa Ana Parking Structure - Job <br />#2422. GWGC, Inc. dba Gordon & <br />williams General Contractors, Inc., and <br />the City of Santa Ana, its officers, <br />empoyees, volunteers and representatives <br /> <br />GWGC, Inc., dba Gordon & Williams <br />General Contractors, Inc. <br />City of Santa Ana <br />2 Faraday <br />Irvine, CA 92618 <br /> <br />A PPR-f)\/ :.:. ,) f\~~; I <br /> <br />;'-:'~)l':J\1 <br /> <br />-_......_'/~-w!L__ <br /> <br />f':,~,'l ,),:.:.dY <br />/\."Jl~l~'lll CllY ihlorney <br /> <br />\:;1.L/l;'1.~' f. ~JU- <br /> <br />WC 040306 <br /> <br />Countersigned by <br />