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ENDORSEMENT AGREEMENT BROKER COPY <br /> COMPr;NSATION WAIVER OF SUBROGATION <br /> INSURANCrE 1786318-24 <br /> FUND <br /> 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 AND EXPIRING MAY 1 2025 AT 12.01 A.M. <br /> TIME INDICATED AT r <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, 2025 <br /> 2570 <br /> AUTHORIZED REPRESENT IVE PRESIDENT AND CEO <br /> SCIF FORM 10217 IREV,7-20141 OLIO DP 217 <br />