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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WC 99 06 34 <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 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 tolthe extent that <br />You perform work under a written contract that requires you to obtain this agreement from us). <br />The additional premium for this endorsement shall be <br />otherwise due. <br />n <br />Person or Organization <br />ANY PERSON OR <br />ORGANIZATION WHEN <br />REQUIRED BY WRITTEN <br />CONTRACT <br />3 % of the total California Workers' Compensation premium <br />Schedule <br />Job Description ' <br />ALL CA OPERATIONS <br />This endorsement gg'�fianges the policy to.which It is attached and Is effective on the date issued unless ,otherwlse stated. <br />(The Informatiori`below Is required only when this endorsement Is Issued subsequent to preparation of the policy,) <br />Endorsement Effective 08/1.3/2018 Policy No. WSA 5037498 01 <br />Endorsement No. <br />Insured VALLEY MAINTENANCE CORPORATION Premium $ INCL, <br />Insurance CompanylNSURANCE COMPANY OF THE WEST <br />Countersigned <br />WC 99 08 34 <br />(Ed, 8-00) <br />INSURED <br />