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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 injurycovered by this policy.We will not enforce our right <br /> againstthe person ororganization named in the Schedule.(This agreementapplies onlyto the extent that you perform work <br /> undera written contractthat requires you to obtain this agreementfrom us.) <br /> You must maintain payroll records accuratelysegregating the remuneration ofyour employees while engaged in the work <br /> described in the Schedule. <br /> The additional premium for this endorsements halI be 6%a of the CaIiforniaworkers'compensation premium otherwise due on <br /> such remuneration. <br /> Schedule <br /> Person or Organization Job Description <br /> CITY OF SANTA ANA ATTN PRCSA ZOO <br /> CITY OF SANTA ANA, ITS 1801 EAST CHESTNUT AVE <br /> OFFICERS, OFFICIALS, SANTA ANA <br /> EMPLOYEES, AND VOLUNTEERS CA92701 <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> (The information belowis required onlywhenthis endorsement is issued subsequentto preparation of the policy.) <br /> Endorsement Effective Policy No. WZC H413981 Endorsement No. 03 <br /> Insured Insurance Company <br /> Countersigned By <br /> WC 04 03 06(Ed 04-84) <br />