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Named Insured: RJM Design Group, Inc. <br /> Policy Number: PSWO004066 <br /> WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 <br /> (Ed. 4.84) <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA <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. (Phis agreement applies only to the extent that <br /> you perform work under a written contract that requires you to obtain this agreement from us.) <br /> You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the <br /> work described in the Schedule. <br /> The additional premium for this endorsement shall be % of the California workers' compensation premium <br /> otherwise due on such remuneration. <br /> Schedule <br /> Person or Organization Job Description <br /> Afl persons or organizations that are party to a Jobs performed for any person or organization that you <br /> contract that requires you to obtain this have agreed with in a written contract to provide this <br /> agreement, provided you executed the contract agreement. <br /> before the loss. <br /> o�. Risk Managmwnt Division <br /> REVIEWED&APPROVED BY: <br /> @1998 by the Workers'Compensatlon Insurance Rating Bureau of California.All rights reserved. A-:,ACZV44 <br /> Risk Management Specialist <br />