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ENDORSEMENT AGREEMENT <br />WAIVER OF 'SUBROGATION <br />BLANKET BASIS <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE OCTOBER 1, 2020 AT 12.01 A.M. <br />AND EXPIRING OCTOBER . 1, 2021 AT 12.01 A,M. <br />ALLEFFECTIVE DATESARE ' <br />AT 12:01. AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />J&G INDUSTRIES, INC. <br />7511 SUZI LN <br />WESTMINSTER, CA 92683 <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 FOR THIS ENDORSEMENT SHALL BE <br />2.009 OF THE 'TOTAL POLICY PREMIUM, <br />SCHEDULE <br />PERSON OR ORGANIZATION JOB DESCRIPTION <br />ANY PERSON OR ORGANIZATION SLANKET WAIVER OF <br />FOR WHOM THE, NAMED INSURED SUBROGATION <br />HAS AGREED BY WRITTEN <br />CONTRACT TO FURNISH THIS <br />WAIVER <br />802847-20 <br />RENEWAL <br />NA <br />3-60-90-75 <br />PAGE 1 OF <br />NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND <br />ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY <br />OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE <br />HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AOREEMENTS OR <br />LIMITATIONS IN THIS ENDORSEMENT. <br />1 <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO; SEPTEMBER 28, 2020 <br />�//� �� � h{a,rFenmHDfihtat <br />AUTHORIZED REPRESENT IVE PRESIDENT AND CEO "i1x1 <br />SCIF FORM 10217 IREVA-2014 - RnkgA.tM1igCnrntCIMtl�Pide <br />