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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed. 04-84) <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy, We will not enforce <br /> our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br /> you perform work under a written contract that requires you to obtain this agreement from us.) <br /> This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> Schedule <br /> State Person or Organization Job Description <br /> California All persons or organizations All jobs whom the Named <br /> whom the Named Insured has Insured has agreed by written <br /> agreed by written contract to contract to furnish this waiver, <br /> furnish this waiver. <br /> The charge for this endorsement shall be 3% of total manual premium, subject to a minimum premium of$100, <br /> This charge will be billed on your next invoice based on current manual premium, and the final charge will be <br /> calculated and billed at the final audit. <br /> WC 00 0313 1 of 2 <br /> (Ed. 04-84) <br /> 1983 National Council on Compensation Insurance. <br />