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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY VVC9SUS34 <br />Emm <br />WAIVER OF OUR RIGHT TD RECOVER FROM OTHERS ENDORSEMENT -BLANKET <br />VVo have the right to recover our payments from anyone liable for an injury oovermdbvthisonioy.VVewiUnot <br />enforce our right against the person or organization named in the Schedule. (This agreement applies only to the <br />extent that you perform work under a written contract that requires you to obtain this agreement from us). <br />The additional premium for this endorsement shall bo3%ofthe total California Workers' Compensation premium <br />otherwise due. <br />Schedule <br />Person or Organization Job Description <br />ANY PERSON OR ORGANIZATION ALL CALIFORNIA OPERATIONS. <br />FOR WHOM THIS WAIVER IS <br />REQUIRED. <br />Policy Number: VVVE5030354O1 Insured: Crosstown Electrical & Data Inc <br />Endorsement Effective: 8/3/2O10 Coverage Provided by: Insurance Company of the West <br />Issue Date: 5/27/2016 Countersigned by: <br />VVCQQD834 ' <br />