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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WC 99 06 34 <br />(Ed. 8-00) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET <br />We have the right to recover our payments from anyone liable for an injury covered by this <br />policy. to theWe ll not <br />force <br />our right against the person or organization named in the Schedule. (This agreement app Y <br />hat <br />you perform work under a written contract that requires you to obtain this agreement from us). <br />The additional premium for this endorsement shall be <br />otherwise due. <br />Person or Organization <br />ANY PERSON OR <br />ORGANIZATION FOR <br />WHOM THE NAMED <br />INSURED IS REQUIRED <br />UNDER WRITTEN <br />CONTRACT TO FURNISH <br />THIS WAIVER, <br />CALIFORNIA <br />OPERATIONS ONLY. <br />2 % of the total California Workers' Compensation premium <br />Schedule <br />Job Description <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 10/04/2024 Policy No. WPL 5067540 02 <br />Endorsement No. <br />Insured GEORGE BIANCHI CONSTRUCTION, <br />Premium $ INCL. <br />Insurance Company INSURANCE COMPANY OF THE WEST (� <br />Countersigned By <br />WC 99 06 34 <br />(Ed. 8-00) <br />INSURED <br />