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WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - <br /> CALIFORNIA <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not <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 /> You must maintain payroll records accurately segregating the remuneration of your employees while engaged in <br /> the work described in the Schedule. <br /> The additional premium for this endorsement shall be 2% of the California workers' compensation premium <br /> otherwise due on such remuneration. <br /> Schedule <br /> Additional premium is a percent of the California Manual Workers Compensation premium. Subject to a minimum <br /> premium charge of$250 <br /> Person or Organization Job Description <br /> Where required by contract or <br /> written agreement prior to loss and <br /> allowed by law. <br /> Issued by Liberty Insurance Corporation 21814 <br /> For attachment to Policy No.WA7-63D-510199-354 Effective Date: 4/1/2024 Premium$ <br /> Issued to Concentra Group Holding Parent, LLC <br /> WC 04 03 06 Page 1 of 1 <br /> Ed: 04/1984 <br />