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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY MWC 1400 05 10 <br /> BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our <br /> right against any person or organization named In the Schedule. (This agreement applies only to the extent that you <br /> perform work under written contract that requires you to obtain this agreement from us,) <br /> You must maintain payroll records accurately segregating the remuneration of your employees white engaged in the <br /> work described in the Schedule. <br /> This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> Schedule <br /> 1. Blanket Waiver <br /> Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. <br /> 2. Premium: <br /> The additional premium charge for this endorsement shall be 3 percent of the Callfomia Workers' Compensation <br /> premium otherwise due subject to a minimum premium of$750 per policy. <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) <br /> Endorsement Effective:02/14/2025 Policy No.MWC0122721-08 Endorsement No, <br /> Insured:TUMBLE-N-KIDS, INC, Premium$(See Attached) <br /> Insurance Company:Markel Insurance Company Countersigned by <br /> MWC14000510 Includes copyrighted material of National Council on Compensation Insurance with Its permission Page 2 of 2 <br /> Copyright 1983 National Council on Compensation Insurance. <br /> i <br />