Laserfiche WebLink
' WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WC 440.906 <br />WAIVER OF OUR RIGHTTO RECOVER FROM OTHERS ENDORSEMENT- <br />CALIFORNIA <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br />our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br />you perform work under a written contract that requires you lo. obtain this agreement from us.) <br />You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the <br />work described in the Schedule. <br />The additional premium for this endorsement shall be <br />otherwise due on such remuneration. <br />PERSON OR ORGANIZATION <br />BLANKET WAIVER <br />of the California workers' compensation premium <br />SCHEDULE <br />JOB DESCRIPTION <br />BLANKET WAIVER <br />- 1998 by the Workers' Compensation Insurance Paling Bureau of California. All rights reserved. <br />Prom the WCIRB's California Workers' Compensation Insurance Forms Manual -1999. <br />