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Waiver of Sulwogafiorti Endorsement District: Whittier Union High School District Endorsement No. 80572268 Name of Person or Organization: Description of Operations: City of Santa Ana As respects to Adult School Contract between Adult School and Santa Ana Workforce Development Board The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment fumished in connection with such work or operations Coverage Period: Effective: 7/l/2024 Expires 12:01 a.m.: 7/1/2025 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 the Instructional Training Agreement between Yosemite CCD and the City of Modesto dated March 1.2020, ASCIP waives any direct right of subrogation against the City of Modesto on a Workers' Compensation or Employers' Liability claim for activities arising from that agreement. The 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 lien in any third party action. The waiver of subrogation shall not apply to any other type of loss or payment paid by ASCIP. Authorized Representative: Date Issued: 6/20/2024 ASCIP is a joint powers authority pursuant to Article 1 (commencing with Section 6500) of Chapter 5 of Division 7 of Title 1 of the Government Code and Sections 39603 and 81603 of the Education Code. Rev 5/16 Risk MmigmumtDMsian REVIEWED & APPROVED BY. Ag�z AaN4 Z ® Risk Management Specialist 60572268 1 58 1 24/25 All Types WC I Sonia Rojas 16/20/2024 4:43:16 PM (PDT) I Page 3 of 3