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CNNWorkers Compensation And Employers liability Insurance <br /> Policy Endorsement <br /> This endorsement changes the policy to which It Is attached. <br /> It Is agreed that Part One- Workers` Compensation Insurance G. Recovery From others and Part Two - <br /> Employers' Lability Insurance H, Recovery From Others are amended by adding the following: <br /> We will not enforce our right to recover against persons or organizations, {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 /> PREMIUM CHARGE- Refer to the Schedule of Operations <br /> The charge will be an amount to which you and we agree that is a percentage of the total standard premium for <br /> California exposure, The amount is 2%. <br /> All other terms and conditions of the policy remain unchanged. <br /> This endorsement, which forms a part of and Is for attachment to the policy issued by the designated Insurers, <br /> takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another i <br /> effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy <br /> unless another expiration date Is shown below. <br /> Form No:G-19160-B f 11-t 997) Policy No;wG 7 39006144 <br /> Endorsement Erffeotive Date: Endorsement Expiration Date: Policy Effective Data:09/2512026 <br /> Endorsement No:2;Page: 1 of 1 Policy Pape,.34 of 47 <br /> Underwriting Company: National Fire Insuranos Company of Hartford, 151 N Franklin St,Chicago,IL <br /> (i080ti <br /> -- — ®Copyright CNA All Rights Reserved. <br />