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_ T E ENDORSEMENT AGREEMENT BROKER COPY <br /> COMPENSATION WAIVER OF SUBROGATION <br /> 1786318-24 <br /> FUND RENEWAL <br /> NA <br /> HOME OFFICE 5-19-53-59 <br /> SAN FRANCISCO PAGE 1 OF 1 <br /> ALL EFFECTIVE DATES ARE <br /> AT 12:01 AM PACIFIC EFFECTIVE FEBRUARY 26, 2025 AT 12.01 A.M. <br /> STANDARD TIME OR THE TIME INDICATED AT AND EXPIRING MAY 1, 2025 AT 12.01 A.M. <br /> PACIFIC STANDARD TIME <br /> STAGE PLUS, INC <br /> PO BOX 11060 <br /> SANTA ANA, CA 92711 <br /> ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, <br /> IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND <br /> WAIVES ANY RIGHT OF SUBROGATION AGAINST, <br /> CITY OF SANTA ANA <br /> WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS <br /> POLICY IN CONNECTION WITH WORK PERFORMED BY, <br /> STAGE PLUS, INC <br /> IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN <br /> PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION <br /> OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE <br /> EMPLOYER. <br /> IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH <br /> EMPLOYEES SHALL BE INCREASED BY 03%. <br /> NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE <br /> OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS <br /> POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE <br /> HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br /> LIMITATIONS OF THIS ENDORSEMENT. <br /> COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: FEBRUARY 27 , 2�025 <br /> 2570 <br /> AUTHORIZED REPRESENT IVE PRESIDENT AND CEO <br /> SCIF FORM 10217 (REV.7-2014) OLD DP 217 <br />