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TAT ENDORSEMENT AGREEMENT <br /> CPMPFt/CATION <br /> ,uFiANciz WAIVER OF SUBROGATION <br /> r tN L BLANKET BASIS <br /> Page 1 <br /> HOME OFFICE <br /> SAN FRANCISCO 9131135-24 <br /> ALL EFFECTIVE DATES RENEWAL <br /> AT 12:01 AM PACIFIC <br /> STANDARD TIME OR THE EFFECTIVE May1 2024 AT 12 :01 AM. Southern <br /> TIME INDICATED AT 7 <br /> PACIFIC STANDARD TIME AND EXPIRING May 1, 2025 AT 12:01 AM 7456611 <br /> SOCAL REMOVAL <br /> 1640 E. EDINGER AVE. STE C <br /> SANTA ANA,CA 92705-5023 <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 /> SCHEDULE <br /> PERSON OR ORGANIZATION JOB DESCRIPTION <br /> ANY PERSON OR ORGANIZATION BLANKET WAIVER OF SUBROGATION <br /> FOR WHOM THE NAMED INSURED <br /> HAS AGREED BY WRITTEN <br /> CONTRACT TO FURNISH THIS <br /> WAIVER <br /> APPROVED <br /> By Cynthia Mora at 4:20 pm, Dec 02, 2024` <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:April 27,2023 <br /> ‘ P <br /> AUTHORIZED REPRESENTATIVE PRESIDENT AND CEO <br /> 2572 <br /> SOW FORM 10217(REV.4-2018) OLD DP 217 <br />