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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 <br />(Ed. 04-84) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <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. (This 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 />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Schedule <br />State <br />Person or Organization <br />Job Description <br />California <br />All persons or organizations <br />All jobs whom the Named <br />whom the Named Insured has <br />Insured has agreed by written <br />agreed by written contract to <br />contract to furnish this waiver. <br />furnish this waiver. <br />The charge for this endorsement shall be 3% of total manual premium, subject to a minimum premium of $100. <br />This charge will be billed on your next invoice based on current manual premium, and the final charge will be <br />calculated and billed at the final audit. <br />WC000313 <br />(Ed. 04-84) <br />9)1983 National Council on Compensation Insurance. <br />1 of 2 <br />Insured Copy <br />