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<br />Au.-31';';2006 10:23311 Fr..ocBF <br /> <br />+714-480-1933 <br /> <br />T-340 P 006/00; F-236 <br /> <br />: - - <br /> <br />- . COIqJBny: <br />Virginia SUI'ety Company <br /> <br />Policy Period= 0110112008 To 0110112007 <br /> <br />Endoraement No.: 0001 <br /> <br />VSQSWP 0007046 00 <br /> <br />01/01/2006 (X) <br /> <br />INS Ui.'.ED---- <br />ORANGE COLJN1Y BAR <br />FOUNDAnO~ <br />PRODUCER AND CODe <br />IWNOIS MIDWEST INSURANCE <br />AGENCY, LtC" . <br /> <br />ATTACHED TO AND <br />FORMING A PART OF <br />POUCY NUMaER <br /> <br />ENDORSEM!! EFFECTIVE <br />(standard Time) <br /> <br />Month/Dey/Year 12:01 D...... Noon <br /> <br />THIS ENDORSEMENT CHANGES mE POUCY. PLEASE READ IT CAREFULLY. <br />- - . THIS ENOOASEMENl' MOOIFJES-INSURANCEPROVlDED.LHlER THE FOlLQY4I~: <br />WORKERS COMPENSATION AND EMPLOYERS" UABlUTY INSURANCE <br /> <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTIiEAS ENDORSEMENT <br /> <br />We have the right to recover our paymera from anyone liable for an injury covered by 1his policy. We will not enforce <br />our right against the person or organization named in the Schedule. This agreement apprl88 only to the extent that <br />you perform work lI'KIer 8 written COlltract that f8C1Uires you 10 obtain this agreement from us. <br /> <br />This agreement shall not operate dl8CtJy or indirectly to benefit anyone not named in the Schedule <br /> <br />Schedule <br /> <br />NDme <br /> <br />~ <br /> <br />Dl8crIDtIon 01 QperatIons <br /> <br />crrv OF FUU.EFITON <br /> <br />303 WEST~TH LEGAL EOUCATION SERVICES <br />AVE. <br />FUU.ERTON,CA,92B82 <br /> <br />The premiUm charge for this endorsement is $ 250 <br /> <br />--.. - --..-- --- <br /> <br />, <br /> <br />~~ ~!G <br />/ v,---:,:,"", ~ _ _ __ _ _______,__~__".~_ <br /> <br />we CPG 7 (3/02) <br />