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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed.4-84) <br /> WAIVER OF OUR MIGHT 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 our <br /> right against the person or organization named in the Schedule. (This agreement applies only to the extent that you <br /> 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 /> City of Santa Ana <br /> This endorsement changes the policy to which it is attached and is affective on the elate issued unless otherwise stated. <br /> (The Information below Is required only when this endorsement Is issued subsequent to preparation of the policy.) <br /> I <br /> Endorsement Effective: 3/I/2 0 2 5 Policy No.:I:Xo5B76ie2-oa Endorsement No.1. <br /> Insured: ONEOC <br /> Premium$ <br /> Insurance Company:Employers Compensation Insurance Company Countersignecl by.-__ D n Dun€a <br /> i <br /> WC 00 03 13 <br /> i <br /> (Eel. 4-84) Copyright 1983 National Council on Compensation Insurance. <br /> i <br />