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WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <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 />(The following "attaching clause" needs to be completed only when this endorsement is issued subsequent to preparation of the policy.) <br />This endorsement forms a part of Policy No. 5276Y46607 <br />Issued to: RK engineering group, inc. <br />By: Travelers Casualty Ins. Co. of Ameri <br />Premium (if any) TBD <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 />You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work <br />described in the Schedule. <br />The additional premium for this endorsement shall be 2-5% of the California workers compensation premium otherwise <br />due on such remuneration. <br />Person or Organization <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Schedule <br />The City of Santa <br />employees, agents, <br />representatives <br />Job Description <br />Ana, its officers, <br />volunteers and <br />WC 04 03 06 Countersigned by <br />(Ed. 4-84) Authorized Representative <br />