Laserfiche WebLink
ENDORSEMENT AGREEMENT <br />WAIVER OF SUBROGATION <br />BLANKET BASIS <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE JUNE 5, 2025 AT 12.01 A.M. <br />ALL EFFECTIVE DATES ARE AND EXPIRING JUNE 5, 2026 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 />ORANGE COUNTY CHILDREN'S THERAPEUT <br />2215 N BROADWAY FL 1 <br />SANTA ANA, CA 92706 <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 FOP, 'PHIS ENDORSEMENT SHALL BE <br />2.00% OF THE TOTAL POLICY PREMIUM. <br />SCHEDULE <br />PERSON OR ORGANIZATION JOB DESCRIPTION <br />ANY PERSON OR ORGANIZATION <br />FOR WHOM THE NAMED INSURED <br />HAS AGREED BY WRITTEN <br />CONTRACT TO FURNISH THIS <br />WAIVER <br />BLANKET WAIVER OF <br />SUBROGATION <br />REP Dl <br />9255171-25 <br />RENEWAL <br />SP <br />0-27-07-45 <br />PAGE I OF <br />NOTHING N THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WANE OR EXTEND <br />ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY <br />OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE N THIS POLICY SHALL BE <br />HELD TO VARY, ALTER, WANE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br />LIMITATIONS N THIS ENDORSEMENT. <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: <br />1 <br />2572 e o <br />M IF FORM 10217 (F V .4-2018) <br />JUNE 6, 2025 <br />PRESIDENT AND CEO <br />OLD [P 217 <br />