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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 <br /> (Ed. 04-84) <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—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 the <br /> work described in the Schedule. <br /> The additional premium for this endorsement shall be 2.0% of the California workers' compensation premium <br /> otherwise due on such remuneration. <br /> Any person or organization for which you have agreed to waive your rights of recovery in a written contract, provided <br /> such contract was executed prior to date of loss. <br /> Schedule <br /> Person or Organization Job Description <br /> ANY PERSON(S)OR ORGANIZATION(S)WITH WHOM YOU HAVE AGREED TO SUCH A WAIVER, IN A VALID <br /> WRITTEN CONTRACT OR WRITTEN AGREEMENT THAT HAS BEEN EXECUTED PRIOR TO LASS. <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 subsequent to preparation of the policy.) <br /> Endorsement Effective 11/30/2024 Policy No. 20200142E Endorsement No, 000 <br /> Insured Hunter Consulting, Inc. Premium <br /> Insurance Company PRAETORIAN INSURANCE Countersigned by <br /> COMPANY <br /> WC 04 03 06 Page 1 of 1 <br /> (Ed. 04-84) <br />