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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 31 <br /> (Ed.6-20) <br /> BLANKET WAIVER OF OUR RIGHTTO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA <br /> We have the right to recover our paymentsfrom anyone liable for an injury covered by this policy.We will not enforce our right <br /> against the person or organization named in the Schedule.(This agreement applies only to the extent that you perform work <br /> under a written contract that requires you to obtain this agreementfrom us.) <br /> The additional premium for this endorsement shall be 10%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 only when this endorsement is issued subsequent to preparation of the policy.) <br /> Endorsement Effective 03/12/25 Polley No,A0952-33-07 Endorsement No. <br /> Insured TOONY DESIGNS,LLC <br /> 1382 VALENCIAAVE Insurance Company MID-CENTURY INSURANCE COMPANY <br /> STE G <br /> TUSTIN CA 927806472 <br /> Countersigned By <br /> WC 9906 31 <br /> (Ed.6-20) <br /> Includes copyright material of the Workers Compensation Insurance Rating Bureau of California.All rights reserved. <br />