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THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />Countersigned by <br />Authorized Representative <br />Form WC 04 03 06 (1) Printed in U.S.A. <br />Process Date:09/29/25 Policy Expiration Date:11/08/26 <br />WAIVER OF OUR RIGHT TO RECOVER FROM <br />OTHERS ENDORSEMENT - CALIFORNIA <br />Policy Number:72 WEC BL6J57 Endorsement Number: <br />Effective Date:11/08/25 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address:NHA ADVISORS, LLC <br />4040 CIVIC CENTER DR STE 200 <br />SAN RAFAEL CA 94903 <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 2 %of the California workers'compensation premium otherwise due <br />on such remuneration. <br />SCHEDULE <br />Person or Organization Job Description <br />Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from <br />us <br />Docusign Envelope ID: BB80A86F-2853-4F40-B02D-18F5B9DD615F