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Endorsement Agreement <br /> Waiver of Subrogation <br /> FUND <br /> 9294438-2025 <br /> Home office Renewal <br /> San Francisco SC <br /> All Effective Dates are <br /> at 12:01 AM Pacific Page 1 of 3 <br /> Standard Time or the <br /> -rime Indicated at Effective July 4, 2025 at 12.-01 AM <br /> Pacific Standard Time and Expiring March 17, 2026 at 12:01 AM <br /> THRIVE SANTA ANA„ INC- <br /> PO BOX 1935 <br /> SANTA ANA, CA 92702 <br /> Anything in this policy to the contrary notwithstanding, it is agreed that the State <br /> Compensation Insurance Fund waives any right of subrogation against, <br /> CITY OF SANTA ANA <br /> which might arise by reason of ame payment under this policy in cornection s ith w rl£ <br /> performed by, <br /> THRIVE SANTA ANA, INC. <br /> It is further agreed that the insured shall maintain payroll records accurately segregating the <br /> remuneration of employees white engaged in work for the above employer. <br /> It is further agreed that premium on the earning of such employees shall be increased by <br /> 3.00%. <br /> Nothing in this endorsement shall be field to vary, alter, waive cr extend any of the terms, conditions, <br /> agreements,or limitations of this policy of^er than as above stated.Nothing elsewhere in this policy shall <br /> be held to Crary, alter waive or limit the terms,conditions, agreements or lirmitations in this endorsement- <br /> Countersigned and issued at San Francisco July 5,2025 <br /> }li ZF•. a�.� IV i'1+`1+s'� ,'P�l fllla l+� <br /> 2570 Authorized Representative President and cfo SF—END <br /> Rev.V2025 OLD DP 217 <br />