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M ENDORSEMENT AGREEMENT <br />ANC WAIVER OF SUBROGATION <br />BLAI KET BASIS Page 1 <br />HOME OFFICE <br />SAN FRANCISCO 9313164-24 <br />ALL EFFECTIVE DATES "BNAL <br />AT 12:01 AM PACIFIC <br />STANDARD TIME THE <br />TIME INDICATED ATT Y <br />EFFECTIVE Jul 1, 2024 AT 12:01 AM. Southern <br />PACIFIC STANDARD TIME AND EXPIRING July 1, 2025 AT 12:01 AM 3671777 <br />CAUFORNIA BARRICADE RENTALSI?NC <br />1550 E SN NT GB7rR JDE FL <br />S4NTA ANA, CA 92705 <br />WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN <br />INJURY COVERED BY THIS POLICY. WE'WILL NOT ENFORCE OUR RIGHT AGAINST <br />THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. <br />THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER <br />A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. <br />THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00 OF THE <br />TOTAL POLICY PREMIUM. <br />PERSON OR ORGANIZATION <br />ANY PERSON OR ORGANIZATION <br />FOR WHOM THE NAMED INSURED <br />HAS AGREED BY WRITTEN <br />CONTRACT TO FURNISH THIS <br />WAIVER <br />C! rvL+TITTT _ V <br />JOB DESCRIPTION <br />BLANKET WAIVER OF SUBROGATION <br />NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, <br />AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL <br />BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: June 24, 2024 <br />eA4 <br />AUTHORIZED REPRESENTATIVE <br />2572 <br />SCIF FORM 10217 (REV. 4 - 2010) <br />q' J RA Mougmuxt DMsIcrn <br />�a %REVIEWED & APPROVED BY: <br />PRESIDENT AND CEO o� A--p AaN <br />44 <br />Risk Management Specialist <br />