Laserfiche WebLink
ENDORSEMENT AGREEMENT <br />WAIVER OF SUBROGATION <br />- BLANMT BASIS <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE SEPTEMBER 1, 2014 AT 12.01 A.M. <br />ALLEFFECTIVE DATESAMM EXPIRING SEPTEMBER 1, 2015 AT 12.01 A.M. <br />AT 1201 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />LAURAS HOUSE <br />999 CORPORATE DR. ##225 <br />LADERA RANCH, CA 92695 <br />REP <br />9110758 -14 <br />NEW <br />SP <br />4- 29 -52 -02 <br />PAGE 1 OF <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 />?,,_UX OF THE TOTAL POLICY PREMIUM. <br />ANY PERSON OR ORGANIZATION <br />FOR WHOM THE NAMED INSURED <br />HAS AGREED BY WRITTEN <br />CONTRACT TO FURNISH THIS <br />WAIVER <br />BLANKET WAIVER OF <br />SUBROGATION <br />NOTHING IN THIS ENDORSEMENT CONTAINED SHALL PE 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 HE <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; SEPTEMBER 5, 22014 <br />AUTHORIZED REPRESENT IVE <br />6CIF FtlflM 10217 1aEV.]-2014{ 'PRESIDENT AND CEO <br />1 <br />2572 V <br />OLD OF 217 <br />