Laserfiche WebLink
I STATE Endorsement Agreement <br /> Waiver of Subrogation <br /> FUND ' Blanket Basis <br /> ' 9346758-2025 <br /> Home Office Renewal <br /> San Francisco NA <br /> All Effective Dates are 3-60-90-7S <br /> at 12:01 AM Pacific Page 1 of 1 <br /> Standard Time or the <br /> Time Indicated at Effective October 1, 2025 at 12:01 AM <br /> Pacific Standard Time and Expiring October 1, 2026 at 12:01 AM <br /> r i <br /> J&G INDUSTRIES, INC. i <br /> 7S11 SUZI LN <br /> WESTMINSTER,CA 92683-4359 <br /> We have the right to recover our payments from anyone liable for an injury covered by this <br /> policy. We will not enforce our right against the person or organization named in the schedule. <br /> This agreement applies only to the extent that you perform work under a written contract that <br /> requires you to obtain this agreement from us. <br /> The additional premium for this endorsement shall be 2.00%of the total policy premium. <br /> Schedule <br /> Person or Oreaniaation Job Description <br /> Any person or organization for whom the Blanket Waiver of Subrogation <br /> E <br /> named Insured has agreed by written <br /> contract to furnish this waiver <br /> E <br /> I {j{ <br /> E <br /> t <br /> r <br /> Nothing In this endorsement shall be held to vary,alter,waive or extend any of the terms,conditions, I <br /> agreements,or limitations of this policy other than as above stated.Nothing elsewhere in this policy shall f <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 September 30,2025 i <br /> 2572 Authorized Representative President and CEO SF—END <br /> Rev.2/2025 OLD DP 217 <br />