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WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA <br />We have the rightto recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right <br />againstthe person ororganization named inthe Schedule. (This agreement applies onlyto the extent that you perform work <br />under a written contract that requires you to obtain this agreementfrom us.) <br />You mustmaintain payroll records accuratelysegregating the remuneration of your employees while engaged in thework <br />described in the Schedule. <br />The additional premium forthis endorsement shall be 2%of the California workers' compensation premium otherwise due on <br />such remuneration. <br />Schedule <br />Person or Organization Job Description <br />APPLIES AS BLANKET WAIVER <br />FOR THOSE HAVING A WRITTEN <br />CONTRACT WITH THE POLICY- <br />HOLDER REQUIRING WOS FOR <br />WC POLICYHOLDER EMPLOYEES. <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequentto preparation of the policy.) <br />Endorsement Effective 4/1/2025 Policy No.W2WJ682426 Endorsement No. <br />Insured Meeder Investment Management Inc. Insurance Company Allmerica Financial Benefit <br />Countersigned By <br />WC 04 03 06 (Ed 04-84) <br />