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Attachment Code: D633347 Certificate ID: 20057479 <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />Policy Endorsement <br />BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />This endorsement changes the policy to which it is attached. <br />It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two <br />Employers' Liability Insurance H. Recovery From Others are amended by adding the following: <br />We will not enforce our right to recover against persons or organizations. (This agreement applies only to <br />the extent that you perform work under a written contract that requires you to obtain this agreement from <br />us.) <br />PREMIUM CHARGE - Refer to the Schedule of Operations <br />The charge will be an amount to which you and we agree that is a percentage of the total standard <br />premium for California exposure. The amount is 3%. <br />All other terms and conditions of the policy remain unchanged. <br />This endorsement, which forms a part of and is for attachment to the policy issued by the designated <br />Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless <br />another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with <br />said policy i unless another expiration date is shown below. <br />Form No. G-19160-B (11-1997) <br />Endorsement Effective 2/1/2024 <br />Policy No. 7064160877 (CA) <br />Insured RAILPROS FIELD SERVICES, INC. <br />Insurance Company: <br />,a <br />RiekMeagemadDMston <br />REVIEWED & APPROVED BY. - <br />Risk Management Spedcout <br />