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3M CONSTRUCTION CORPORATION
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3M CONSTRUCTION CORPORATION
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Last modified
1/6/2025 4:54:19 PM
Creation date
1/6/2025 4:54:08 PM
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Contracts
Company Name
3M CONSTRUCTION CORPORATION
Contract #
P24-5005
Agency
Public Works
Insurance Exp Date
4/1/2025
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ENDORSEMENT AGREEMENT <br />BROKER COPY <br />WAIVER OF SUBROGATION <br />BLANKET BASIS <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE APRIL 1, 2024 AT 12.01 A.M. <br />ALL EFFECTIVE DATES ARE AND EXPIRING APRIL 1, 2025 AT 12.01 A.M. <br />AT 12:01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />3M CONSTRUCTION CORPORATION <br />741 E SYCAMORE ST <br />ANAHEIM, CA 92805 <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 />9336253-24 <br />RENEWAL <br />SP <br />8-88-86-80 <br />PAGE 1 OF 1 <br />NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE <br />OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS <br />POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE <br />HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br />LIMITATIONS OF THIS ENDORSEMENT. <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: APRIL 4, 2024 APPROVED - <br />By Laisa Najera at 3:22 pm, Dec 00, 2,024 <br />2572- <br />AUTHORIZED REPRESENT IVE PRESIDENT AND CEO <br />SCIF FORM 10217 MEV.7-2014) OLD DP 217 <br />
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