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WORKERS COMPENSATION AND EMPLOYERS LIAEILITY INSURANCE POLICY WO 490634 <br />(Ed. 8-00) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET <br />We have the right to recover our payments from anyone liable for on Injury covered by this policy. We will not enforce <br />our right against Ihoperson or organization named In (fie Schedule. (This agreement applies only to the extent that <br />you perform work under a written contract that requires you to obtain this agreament from us), <br />The additional premium for this endorsement shall be, 3 % of the total Gallfornla Workers' Compensatlon premium <br />otherwise due. <br />Schedule <br />Person or Organization Job Description <br />AMY PERSON OR ALL CALIFORNIA <br />ORGANISATION FOR OPERATIONS. <br />WHOM THIS WAIVER 10 <br />REQUIRED. <br />APPROVED AS T FOR <br />Laura A. Rossini <br />staut R itis y Attorney <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 to Issued subsequent to preparation of the policy.) <br />EndarsementEffeotlve 04-01-13 PolfoyNo. WS0502077001 Endorsement No. <br />Insured,. MetroPro Road Services, Inc. Premium $ INCL. <br />insurance Company INSURANCE COMPANY OP THE WEST <br />Countersigned By <br />WO 99 00 34 <br />(Ed, &00) <br />INSURED