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CE TUFAY=- Ai"iONAL I SUISANQ :0�MPANY <br />P.O. Box 3999 • North Hollywood, CA 91609-0599 <br />For Service Cell Your Broker. For Claims Call., 800-733-1980 <br />Name of Insured: Endorsement Effective Date and Time: <br />CROSSTOWN ELECTRICAL & DATA 11/05/2016 at 12:01 AM <br />Policy Number: Policy Term Covers from: Endorsement Number: <br />BAP0171987 12:01 AM on 11/05/2016 to 11/05/2017 at 12:01AM 000 <br />Name of Agency: <br />CHAIX & ASSOC INS BROKERS INC 122800 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />Waiver of Subrogation <br />"THE RIGHT TO SUBROGATE AGAINST THE ADDITIONAL INSURED NAMED BELOW IS WAIVED <br />FOR LOSSES PAID WHICH ARISE OUT OF THE OPERATIONS OF THE NAMED INSURED", FOR <br />WHICH THE NAMED ADDITIONAL INSURED HAS NO INDEPENDENT NEGLIGENCE. <br />CERTIFICATE HOLDER <br />ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. <br />Date Printed: 11/03/2016 <br />RENE FAJARDO <br />CN 613A (07/11) <br />REVIEWED BY: EUNICEHEREDIA(PG gOFpf) -1) <br />