WHITTER UNION HIGH SCHOOL DISTRICT - WHITTER UNION ADULT SCHOOL

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Waiver of Subrogation Endorsement DiSftkt: WhIdlor Unlon High School District Endorsement No. 74908371 Name of Person or Organization: Description of Operations: City of Santa. Ann As re�speolsto tuv' sohaat Conlractbetween Adult School and Santa Ana Workforce Devalopmant board Th City of Santa Ana its officers, officials; employees, an volunteers are to tie covered as additional Insureds on t a GGL policy with respect to liability arising out of Wor or operations performed by or on behalf of the pponiractor including materials, parts, or equipment iurnl5 ad In connection with such work or operations Coverage Period: Effective: 7i1/2023 Expires 12:01 a.m.: 7/1iz024 ASCIP has the right to pursue subrogation recoveries from any party liable for an injury, in whole or in part, in accordance with the provisions contained in the ASCIP Memorandum of Coverage (MOC). With reference only to file Instructional "training Agreement between Yosemite CCD and the City of Modesto dated March 1.2020, ASCIP waives any dhect right of subrogation against the City of Modesto on a Workers' Compensation or Employers' Liability claim for activities arising from that agreement. 'file subrogation waiver shall not apply to ASCIP's right to recoup Workers' Compensation benefits paid when the injured worker recovers from a third -party defendant, including ASCIP's right to intervene and assert a [fair in any third party action, The waiver ofsubrogation shell not apply to any other type of loss or paymont paid by ASCII?; Authorized Represetttattw Date Issued: g/20/2ov ASCIP is ajoint polvers'authority pursuant to Article t (commencing with Section 6500) of Chapter 5 ol'Division 7 of "ride I. of the Government Code and Sections 39603 and & 1603of the Education Code, Rev 5116 24900391 1 58 1. 93/24 All Typos fie I an➢iu. Rojas 1 6120/2023 11137:12 AM (POT) IPage I ee 3