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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />0; <br />NVE1 LVI A -X01 &Q I I 'A <br />Policy Number: 57 WE GEG 0 4 9 Endorsement Number: <br />EffectiveDate: 05/01/20116 Effective hOUr is the sarne as stated on the Information Page of the policy. <br />Named Insured and Address: DIES ASSOCIATES <br />1970 BROADWAY STE, 740 <br />OAKLAND, CA 94612 <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. <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />SCHEDULE <br />ANY PERSON OR OGANTZATION <br />FROM WHOM YOU ARE REQUIRED BY <br />WRITTEN CONTRACT OR AGREEHEN'I' <br />TO OBTAIN THIS WAIVER OF <br />RIGHTS FROM US. <br />Countersigned by <br />BLANKET AS REQUIRED BY <br />co[vrRACT <br />Authorized Representative <br />Form WC 00 03 13 Printed in U.S.A. <br />Process Date: 05/01/2016 Policy Expiration Date: 05/01/201'7 <br />