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PINNAA COL <br />ASSURANCE <br />Bonded Collection Service Inc <br />P O Box1317 <br />Longmont, CO 80502 <br />ENDORSEMENT: Waiver Of Subrogation <br />7501 E. Lowry Blvd. <br />Denver, CO 80230.7006 <br />303.361,4000 J 800.873.7242 <br />Pinnacol.com <br />NGCI #: WC000313 <br />Policy #: 516892 <br />Crest Insurance Group of Colorado, <br />2000 S. Colorado Blvd, Suite 11100 <br />Denver, CO 80222 <br />(720) 667-1850 <br />We have .the right to recover our payments from anyone liable for an Injury covered by this policy. We will not <br />enforce our right against the person or organization named in the Schedule. (This agreement applies only to the <br />extent that you perform work under a written contract that requires you to obtain this agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />SCHEDULE <br />City of Santa Ana <br />20 Civic Center Plaza <br />PO Box 1988 <br />Santa Ana, CA 92702 <br />Effective Date: July 10, 2025 <br />Pinnacol Assurance has Issued this endorsement July 10, 2025 <br />7501 E. Lew� Blvd Denver, CO 80230.7004 <br />Page 1 of 3 P sherrf.schwelger@bcservlce.com - 07/1 WgD25 15:00:29 516W 85445352 UW 137 <br />