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NONPROFIT <br />uivz-rEr?? <br />THIS ENDORSEMENT CHANGES THE MEMORANDUM OF COVERAGE <br />PLEASE READ IT CAREFULLY <br />WAIVER OF TRANSFER OF RIGHTS OF <br />RECOVERY AGAINST OTHERS TO US <br />Non Profits' United Workers' Compensation Group <br />Memorandum of Coverage: NPU-WCG 001-2012 <br />This endorsement modifies the coverage provided under the following: <br />Memorandum of Coverage: PART ONE: WORKERS' COMPENSATION <br />COVERAGE Paragraph H. RECOVERY FROM OTHERS is amended with respect to the following: Name <br />and Address of Person or Organization: <br />City of Sonta Ano <br />20 Civic Center P/ozo, PO Box 1988 <br />Sonto Ano, CA 92 702-1 988 <br />DESCRIPTION OF OPERATIONS/LOCATIONS ADDED BV ENDORSEMENT: <br />- With regard to the City, its Officio/s Officers, Agents and emp/ogees. <br />NPU-WCG waives any right of recovery it may have against the person or organization shown above <br />because of payments made by NPU-WCG for injury or damage arising out of the Members' operations <br />done under a contract with that person or organization shown above and included in the coverage <br />provided by the Memorandum of Coverage. This waiver applies only to the person or organization <br />shown on the Schedule Above. <br />This endorsement is part of the Memorandum of Coverage and is effective on the date shown below. <br />All other terms and conditions remain unchanged. <br />Effective Date: January 27. 2012 Expiration Date: January 1. 2013 <br />Member: Association for Retarded Citizens Mid-Cities <br />Endorsement No: NPLlWCG-ARCMIDC-06 Date Issued: Feb 3. 2012 <br />Aut prize epresent to ve fior P -W <br />NPU-WCG Page 1 MOC: NPCi-WCG 001-2012