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TRAVELERS <br />WORKERS COMPENSATION <br />AND <br />EMPLOYERS LIABILITY POLICY <br />ENDORSEMENT WC 99 03 76 (00) -001 <br />POLICY NUMBER: UB7289Y469 <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />ENDORSEMENT .CALIFORNIA <br />(BLANKET WAIVER) <br />We have the right to recover our payments from anyone liable for an injury covered by this <br />policy. We will not enforce our right against the person or organization named in the Schedule. <br />You must maintain payroll records accurately segregating the remuneration of your employees <br />while engaged in the work described in the Schedule. <br />The additional premium for this endorsement shall be 5% of the California workers' <br />compensation premium otherwise due on such remuneration. <br />Schedule <br />Person or Organization <br />Job Description <br />ALL PERSONS OR ORGANIZATIONS THAT ARE PARTIES TO A CONTRACT THAT <br />REQUIRES YOU TO OBTAIN THIS AGREEMENT PROVIDED YOU EXECUTED THE <br />CONTRACT BEFORE THE LOSS. <br />