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ENDORSEMENT AGREEMENT <br />WAIVER OF SUBROGATION <br />BLANKET BASIS <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE JULY 1; 2021 AT 12.01 A.M. <br />ALL EFFECTIVE DATES ARE AND EXPIRING JULY 1, 2022 AT 12.01 A.M. <br />AT 12u01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />MDG ASSOCIATES, INC. <br />10722 ARROW RTE STE 822 <br />RANCHO CUCAMONGA, CA 91730 <br />WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE <br />LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL <br />NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR. <br />ORGANIZATION NAMED IN THE SCHEDULE. <br />THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU <br />PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU <br />TO OBTAIN THIS AGREEMENT FROM US. <br />THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE <br />2.00$ OF THE TOTAL POLICY PREMIUM. <br />SCHEDULE <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 />JOB DESCRIPTION <br />BLANKET WAIVER OF <br />SUBROGATION <br />1960750-21 <br />RENEWAL <br />SP <br />0-27-54-05 <br />PAGE 1 OF <br />NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND <br />ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY <br />OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE <br />HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br />LIMITATIONS IN THIS ENDORSEMENT, <br />COUNTERSIGNED AND ISSUED AT SA_N FFRRANCISCO: <br />2572 AUTHORIZED flEPRESENT IVE <br />SCIF FORM 10217 (REVA-2018) <br />JULY 21 2021 <br />PRESIDENT AND C <br />1 <br />RlekMmygcwnentD[vislon I;, <br />F p REVIEWED&APPRavm8 ' <br />Fit P, V <br />---�'' RISA MRriagement An'Ilyst r <br />