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ENDORSEMENT AGREEMENT <br /> STATE WAIVER OF SUBROGATION <br /> COMPENSATION INSURANCE BLANKET BASIS 9264599-23 <br /> FUND RENEWAL <br /> NF <br /> HOME OFFICE 8-55-97-01 <br /> SAN FRANCISCO EFFECTIVE NOVEMBER 21 , 2023 AT 12 . 01 A.M. PAGE 1 OF 1 <br /> AND EXPIRING NOVEMBER 21 , 2024 AT 12 . 01 A.M. <br /> ALL EFFECTIVE DATES ARE <br /> AT 12:01 AM PACIFIC <br /> STANDARD TIME OR THE <br /> TIME INDICATED AT <br /> PACIFIC STANDARD TIME <br /> LEGION CONTRACTORS INC <br /> 18008 SKY PARK CIR STE 290 <br /> IRVINE , CA 92614 <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 /> 2.00% OF THE TOTAL POLICY PREMIUM. <br /> SCHEDULE <br /> PERSON OR ORGANIZATION JOB DESCRIPTION <br /> ANY PERSON OR ORGANIZATION BLANKET WAIVER OF <br /> FOR WHOM THE NAMED INSURED SUBROGATION <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 <br /> ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY <br /> OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHGI I RF <br /> HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEN\ / <br /> �s Risk Management Division <br /> LIMITATIONS IN THIS ENDORSEMENT. REVIEWED&APPROVED BY: <br /> A tlav <br /> COUNTERSIGNED AND ISSUED AT SAN(/4FRFRANCISCO: NOVEMBER 22 , 2023 ® Risk Management Specialist <br /> (/tea �.H aC'� f <br /> e�.�uti <br /> 81s24A0�{G24-2s A e xs PoAWTH10RIZED REPRESENT MVE 1:36:48 PM (PDT) I Page 12 of 12 PRESIDENT AND CEO <br /> SCIF FORM 10217 IREV.4.20181 OLD DP 217 <br />