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Named Insured: RIM Design Group, Inc. <br /> Policy Number; PSWO004066 <br /> 1 t WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 08 06 <br /> (Ed. A-84) <br /> s <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA <br /> i <br /> I <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br /> sour right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br /> i you perform work under a written contract that requires you to obtain this agreement from us.) <br /> i <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 % of the California workers' compensation premium <br /> otherwise due on such remuneration, <br /> ' Schedule <br /> Person or Organization Job Description <br /> All persons or organizations that are party to a ,Jabs performed for any person or organization that you <br /> contract that requires you to obtain this have agreed with in a written contract to provide this <br /> agreement, provided you executed the contract agreement, <br /> l" <br /> before the loss, <br /> t <br /> i <br /> l <br /> i <br /> i <br /> i <br /> l <br /> i <br /> 01998 by the Workers'Compensation Insurance Rating Bureau of California,All rights reserved. <br />