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Agpk WORKERS COMPENSATION <br />TRAVELER'S AND <br />EMPLOYERS LIABILITY POLICY <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />E I <br />NDORSEMENT - CALIFORNIA <br />(BLANKET WAIVER) <br />We have the right to recover our payments from anyone liable for an injury covered by this poficy. We will not <br />enforce our right against the person or organization named in the Schedule, <br />The additional premium for this endorsement shall be % of the California, workerscompensation pre- <br />mium. <br />am��� <br />Any Person or organization for which the inSUred has agreed by written contract executed prior to <br />loss to ftirnish this waiver, <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise <br />stated, <br />(The information below is required only when this endorsement is issued subsequent to preparation of <br />the pollicy.) <br />insurance Company <br />Travelers Property Casualty C=pary of <br />& jN PWO�d'436 d by <br />R , ti <br />isk NA(�-,IFM DivisioN <br />7 2020 <br />Page 1 of 1 <br />N4, LAMBF-10 <br />