Laserfiche WebLink
ENDORSEMENT AGREEMENT <br />WAIVER OF SUBROGATION <br />BLANKET BASIS <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE NOVEMBER 21, 2023 AT 12.01 A.M. <br />AND EXPIRING NOVEMBER 21, 2024 AT 12.01 A.M. <br />ALL EFFECTIVE DATES ARE <br />AT 12:01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />LEGION CONTRACTORS INC <br />18008 SKY PARK CIR STE 290 <br />IRVINE, CA 92614 <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 JOB DESCRIPTION <br />ANY PERSON OR ORGANIZATION BLANKET WAIVER OF <br />FOR WHOM THE NAMED INSURED SUBROGATION <br />HAS AGREED BY WRITTEN <br />CONTRACT TO FURNISH THIS <br />WAIVER <br />9264599-23 <br />RENEWAL <br />NF <br />8-55-97-01 <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 SHAI I RF <br />HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEN <br />LIMITATIONS IN THIS ENDORSEMENT. <br />COUNTERSIGNED AND ISSUED AT S�AANNFRANCISCO: NOVEMBER 22, ]2/0/23 ✓,/I1n <br />8,5257R24-25 A c w Xs eaAUTHID&ZE ! REK ESE fV.6 1:26:as en. (aoT) I Page 12 of 12 PRESIDENT AND CEO <br />SCIF FORM 10217 (REV.4-2018) <br />1 <br />Risk Mrmage..dUlmian <br />REVIEWED&APPROVEDBw <br />�— <br />Risk Management Sped Mist <br />OLD DP 217 <br />