Laserfiche WebLink
WORKERS COMPENSATION A41)EMPLOYERS LIABILITY INSURANCE POLICY WC99 0631 <br /> (Ed.6 20) <br /> BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA <br /> We have the right to recoverour paymentsfrom anyone liable foran injury covered by this policy.Wewill notenforce our right <br /> againstthe person ororganization named in the Schedule.(Thisagreement applies only to the extent that you perform work <br /> under a written contract that requires you to obtain this agreement from us.) <br /> The additional premium for this endorsement shall of the California workers compensation premium otherwise due <br /> on such remuneration,subject to a minimum charge of 250 <br /> All written contracts in the state(s)of: <br /> CA <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 onlywhen this endorsement is Issued subsequent to preparation of the policy.) <br /> Endorsement Effective 02/15/24 Policy No.A0950-54-51 Endorsement No. <br /> Insured IWATER,INC <br /> (DBA)IWATERINC. <br /> 12 GOODYEAR STE 130 Insurance Company MID-CENTURY I NSURANCE COMPANY <br /> IRVINE CA926183747 <br /> Countersigned By <br /> WC990631 <br /> (Ed.6-20) <br /> includes copyright material of the Workers Compensation Insurance Rating Bureau of California.All rights reserved. <br />