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Wurtaerx Cbmrrcnsat4un and Gmplpvcrs' I <br />TYCO IN MANAGEMENT COMPANY, <br />LLG_....._.._._.�. - -- -- <br />Poh,c &iuuL +cr <br />9 ROSM ROAD Symbol: WLR Number: 048592284 <br />PRINCETON NJ 08540 <br />10.01 -2015 TO 10-01-2016 <br />ACE AMERICAN INSURANCE <br />CALIFORNIA WAIVER OF Mi11 RiGHi 'rO RECOVER FROM o, HERS ENDORSEMENT <br />'Ihi:, endorsement applies only to Tile insurance provided by the policy bcr -ease Ctdil'ornia is shown in [tent „i.A, of the <br />Information lase. <br />We have the right to recover our payments front anyonc liable for an injury covered by this policy. We will not enforce tint right <br />against the person or organization named in the Schedute, but this ecaiver applies only with respect to bodily injury arising out <br />of the operations described in the Schedule, where you arc required by a written contract to obtain this waiver firom u3. <br />You most maintain payroll records accuratsty scgrecsting the remuneration 01' your emptoyees while angaged in the work <br />described in the Schedule. <br />Schcdtde <br />1. { Specific Waiver <br />Mom of'person or orgarrizatt"UP: <br />i X ) Blanket Waiver <br />Any person or orL_anization for whom the Named Insured has agreed by written contract to furnish this waiver, <br />1 Operations: <br />3. Premium <br />The prum un charge lot this endonement shall be _2.0 percent of thf'C'alifornia picrnium developcd <br />on Payroll in connection with work performed for the a.hoveperson(s) or organization(s) arising out of the <br />operations described. <br />4. Minimum Premium $4 <br />Autlxunnd Agmn <br />