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it <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF OUR RIGHT TO RECOVER FROM <br />OTHERS ENDORSEMENT CALIFORNIA <br />Policy Number: 72 tart S89300 Endorsement Number: <br />Effective Date: 07/01/2025 Effective hour is the same as stated on the Declarations of the policy. <br />Named Insured and Address: WEST COAST ARBORISTS, INC. <br />220 E. VIA BURTON <br />ANAHEIM, CA 92806 <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our <br />right against the person or organization named in the Schedule. (This agreement applies only to the extent that you <br />perform work under a written contract that requires you to obtain this agreement from us.) <br />You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work <br />described in the Schedule: <br />The additional premium for this endorsement shall be 5 % of the California workers' compensation premium <br />otherwise due on such remuneration. <br />SCHEDULE <br />Person or Organization Job Description <br />PLEASANT VALLEY RECREATION AND PARK <br />DISTRICT, ITS ELECTED AND APPOINTED <br />OFFICIALS, AGENTS, VOLUNTEERS, AND <br />EMPLOYEES. <br />Countersigned by <br />Authorized Representative <br />Form WC 04 03 06 Printed in U.S.A. <br />