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<br />Aur31-2006 10:230 FraMlCBF <br /> <br />+714-480-1933 <br /> <br />T-340 1.007/007 c-Z36 <br /> <br />WORKERS COMPENSATION AND EMPLOYERS UABILITY INSURANCe POLICY <br /> <br />WC890614 <br /> <br />2nd Reprint <br /> <br />Issued 5eDtember4. 1987 <br /> <br />POLICY IHFORIIAllON PAGE ENDORSEMENT - 3D EtmORSEIIENT NUMBER CHANGE <br />The foIkMing item(s) <br /> <br />Item 3D. EndOI'8ement Number(s) <br />Is chang(ld to Include and/Ot remove: ADD WAIVER OF SUBROGATION <br /> <br />"" -' -~-,. ~ .'...."..:.) <br /> <br /> <br />All other terms and conditions of this polley femaIn ~ <br /> <br />.._~-4'Lt~ <br /> <br />-' ~v c. -.., .-'..l.:. -'.....~JJ.. <br /> <br />F .,..'.>: L~;;ty P.:.Lc:,"...:~". <br /> <br />(Ibe InfonnIIUon below.. ~ onIy.....1N8 enda6'IeInenI18 iuued 8Ubeeq\B'd to preparation oIlhe policy.) <br />f <br />EJIectiV8: 01A)1J2006 PoIic;y NO.: VSQSWP 0007048 00 Endorsement No.: 0001 <br /> <br />Insured: ORANGE COUNTY BAR fOUNDATION Premium:D <br />V1rg1tl1a :,urety 0mlpIlny <br /> <br />00 1.. .......... c:o.GI on eo...,MI U" - ---<lJIn. 1M- <br /> <br />~By <br />,"SURED'S COPY <br />