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3/21/2013 <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA— BLANKET <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against <br />the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written <br />contract that requires you to obtain this agreement from us. <br />The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such <br />remuneration. <br />Schedule <br />Person or Organization Job Description <br />Any person or organization for whom RE: All California Operations <br />The named insured is required under <br />Written contract to furnish this waiver <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 01/01/13 to 01/01/14 Policy No. CST5003428 Endorsement No. <br />Insured: Sierra Pacific Electrical Contracting Insurance Company: BENCHMARK INSURANCE COMPANY <br />Benchmark Insurance Company Countersigned by <br />CERT NO.: 15999292 Lupe Oitiz 3/21/2013 1:12:00 PM Page 7 of 9 <br />