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STATE ENDORSEMENT AGREEMENT <br /> COMPENAATION <br /> INSURANCE <br /> FUND <br /> UND WAIVER OF SUBROGATION <br /> BLANKET BASIS Pagel <br /> HOME OFFICE <br /> SAN FRANCISCO 9091718-24 <br /> ALL EFFECTIVE DATES RENEWAL <br /> AT 12:01 AM PACIFIC <br /> STANDARD TIMEE EFFECTIVE March 7, 2024 AT 12 : 01 AM. LosAn eles <br /> TIME INDICATEDEDAT AT g <br /> PACIFIC STANDARD TIME AND EXPIRING March 7, 2025 AT 12 :01 AM 8778483 <br /> SHAKESPEAR BY THE SEA <br /> 515 N PROSPECTAVE <br /> SUITE#L1 <br /> REDONDO BEACH,CA 90277-3732 <br /> WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN <br /> INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST <br /> THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. <br /> THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER <br /> A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US . <br /> THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2 . 00% OF THE <br /> TOTAL POLICY PREMIUM. <br /> SCHEDULE <br /> PERSON OR ORGANIZATION JOB DESCRIPTION <br /> ANY PERSON OR ORGANIZATION BLANKET WAIVER OF SUBROGATION <br /> FOR WHOM THE NAMED INSURED <br /> HAS AGREED BY WRITTEN <br /> CONTRACT TO FURNISH THIS <br /> WAIVER <br /> NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY,ALTER,WAIVE OR EXTEND ANY OF THE TERMS,CONDITIONS, <br /> AGREEMENTS,OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED,NOTHING ELSEWHERE IN THIS POLICY SHALL <br /> BE HELD TO VARY,ALTER,WAIVE OR LIMIT THE TERMS,CONDITIONS,AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT <br /> COUNTERSIGNED AND ISSUED AT SAN FRANCISCO:March 1,2024 <br /> AUTHORIZED REPRESENTATIVE PRESIDENT AND CEO <br /> 2572 <br /> SCIF FORM 10217(REV.4-2018) OLD OP 217 <br />