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ENDORSEMENT AGREEMENT <br /> STATE WAIVER OF SUBROGATION 9334957-24 <br /> BLANKET $ASIS NE <br /> FUND 8-56-62-27 <br /> HOME OFFICE <br /> SAN FRANCISCO EFFECTIVE MARCH 15, 2024 AT 12 . 01 A.M. PAGE 1 oP z <br /> ALL EFFECTIVE DATES ARE AND EXPIRING MARCH 15,2 0 2 5 AT 12 . 01 A.M. <br /> AT 12:01 AM PACIFIC <br /> STANDA,flD TIME OR THE <br /> TIME INDICATED AT <br /> PACIFIC STANDARD TIME. <br /> SUPERIOR HOT TAPPING SERVICES, INC. <br /> 7923 OLD OAK CT <br /> RIVERSIDE, CA 92506 <br /> WE HAVE THE RIGHT TO RECOVER OUR PAYt+ISNTS FROM A14YONE <br /> LIA13LE FOR AN FNTURY COVEE1 ID ET THIS POLICY. WE WILL <br /> NOT ENFORCE OUR RI&aT AGAINST TM PERSON OR <br /> ORGANIZATION FAMED IN TH$ SCHFX17LE. <br /> THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU <br /> PERFORM WORK UNDER A WRITTENCONTRACT THAT REgUIRES YOU <br /> TO OETAIK THIS AGREEMENT FROM US, <br /> THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALT, BE <br /> 2 .00iiS OF THE TOTAL POLICY PREMIUM, <br /> SCIIEDULE <br /> PERSON OR ORGANIZATION JOB DESCRIPTION <br /> ANY PERSON OR ORGANI.ZATION BLANKET WAIVER OF <br /> Pot-? WHOM THE NAMED INSURED SUaROGATION <br /> HAS AGREFX BY WRITTEN <br /> CONTRACT TO FURNISH THIS <br /> TOMIVER <br /> NOTHPN,G III THIS IEI1dOHSEMFWT COW AINIRD SHALL SE HELa TO VARY. ALTER, WAIVE <br /> OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS. OR LIMITATIONS OF THIS <br /> POLICY OTHER THAN AS .STATED. NOTHING ELSEiNNFRE IN THIS POLICY SHALL BE <br /> HELD TO VARY, ALTER, WAIVE CM L[M1T THE T`51RMS, CONDITIONS, AGREEWIE""" •• ` <br /> LIMITATIONS OF THIS ENDORSEMENT. Ri®kMuaganentDMsbn <br /> REVIEWED&APPROVED BY. <br /> CQUA17ERSIIC tNED AND ISSUED AT SAN FRANCISCO MARCH 15, 2024 ' A Aecv44 <br /> ® Risk P.lanagement Specialist <br /> ALITfk7R.{ ES M1JT 111 F PRESIDENT AND CEO 2572 <br /> SCIF FORM IO2F7 IRLV_7-.Ro1+1 DIL4 DP 217 <br />