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1 <br />Wdfik COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY i WC 99 08 34 <br />t (Ed, No) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT. BLANKET <br />Wa have, he right to recover our payments from anyone liable foram Injury covered by thls policy, wa will not enforca <br />our right tgalhst the person or organizetlon named In the schedule. (Thle agreement eppilee only to the Vdant that <br />YOU perrdr;1 work under a written contract that requires you to obtain this agreement from us), <br />I <br />The additional premium for this endorsement shall he 3 % of the total California Workers' CompareatI premium <br />otherWaddua. <br />I <br />I Schedule <br />Person or Orgenlzatton <br />ANY PERSON / ORG <br />WHEN REOUIRED BY <br />WRITTEN CONTRACT <br />Job Descrlptlon 1 <br />ALL CA OPERATIONS <br />I <br />I I <br />This sndcAewiant changes the pollay to which It Is attached and Is arrsotive on the date Issued unless oth se stated. <br />(The in Ilan below Is required only when this endorsement Is Issued aubsequentto prepamtiotr oP Policy.) <br />Endorsement Effective 00/13/2019 Pollcy No. NSA 5037498 02 Endnt orsemeNo <br />Insured V Y Mh3:NTENANCE CORPORATION Premium $ I4CL. <br />Insurance 6pany INSURANCE COMPANY OF THE NEST <br />WO 99 08 3b <br />(Ed. 8.00) <br />Countersigned By <br />REVIEWED, APPROVED <br />wswu:a BY RIs r.Mnrvngemrivr Dfvisl4114 <br />acr <br />FRAN E R. VI <br />