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HOME OFNCE <br />SAN FRANCtSCO <br />ALL EFFECTIVE DATES ARE <br />AT 12: "01 AM PACIFFC <br />STANDARD TIME OR THE <br />TWME INDICATED AT <br />PAC0C STANDARD TAME <br />ENDORSEMENT AGREEMENT <br />WAIVER OF SUBROGATION <br />BLANKET BASIS <br />EFFECTIVE JUNE 3, 2014 AT 12.01 A.M., PAGE I-OF <br />AND EXPIRING JUNE 3, 2015 AT 12.01 A.M <br />CROSSTOWN ELECTRICAL & DATA, 1 <br />5463 DIAZ STREET <br />IRWINDALE, CA 91706 <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 NAYED IN THE SCHEDULE. <br />THIS AGREEMENT' APPLIES ONLY TO THE EXTENT THAT YOU <br />PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU <br />,rc, OBTAIN "rjiTS AGREEMENT FROM US, <br />THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE <br />2.()P% 01, THE" TOTAL POLTCY PREMITIM,, <br />SCHEDULE <br />PERSON ()R ORGANIZATION <br />JOB DESCRIPTION <br />ANY PERSON OR ORGANTZATION BLANKET WAIVER OF <br />FOR WHOM THE NAMED TNSURED SUBROGATTON <br />HAS AGREED BY WRITTEN <br />0.)NTRACT TO FURNISH THIS <br />WAIVER <br />NOTHPdG M TWS ENDORSEMEN'r CONTAMED SHALL BE HELD TO VARY, ALTER, WAIVE <br />OR EXTEND ANY OF TIHE TERMS, CONDIT9ONS, AGREEMENTS, 0A UMITATiONS OF 7THIS, <br />POLICY OTHER THAN AS STATED, NOTMNG ELSEWHERE AN THIS POLICY SHALL. BE <br />HELD TO VARY, ALTER, WMVE OR LIMIT THE rERNIS CONDITSONS, AGREEMENTS T^ <br />UMITATQNS OF THtS ENDORSEMENT. <br />COUNTERSK3NED AND wSSUED AT SAN FR I ANMSCO JUNE 16, 2014 <br />2572 <br />/ORESOEN7 AAG CIEC <br />(.�ROSSTOWN EL.ECTRICAL & DATA A-2012-177 REVIEWED BY, <br />C 1, / . EUNICE HEREDIA (PG 9 of 9) <br />m <br />