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ENDORSEMENT AGREEMENT <br /> STATE WAIVER OF SUBROGATION <br /> CQMPENSATION INSURANCS <br /> BLANKET BASIS 1972096-20 <br /> FUND RENEWAL <br /> NF <br /> 1-15-05-70 <br /> HOME OFFICE <br /> SAN FRANCISCO EFFECTIVE MAY 1, 2020 AT 12 . 01 A.M. PAGE 1 OF 1 <br /> AND EXPIRING MAY 1, 2021 AT 12 . 01 A.M. <br /> ALL EFFECTIVE DATES ARE <br /> AT 12:01 AM PACIFIC <br /> STANDARD TIME OR THE <br /> TIME INDICATED AT <br /> PACIFIC STANDARD TIME <br /> ENVIRONMENTAL CONTROL ASSOCIATES <br /> 3011 TWIN PALMS DR <br /> APTOS, CA 95003 <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 WORE UNDER A WRITTEN CONTRACT THAT REQUIRES YOU <br /> TO OBTAIN THIS AGREEMENT FROM US. <br /> THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE <br /> 2_00% OF THE TOTAL POLICY PREMIUM. <br /> SCHEDULE <br /> PERSON OR ORGANIZATION JOB DESCRIPTION <br /> ANY PERSON OR ORGANIZATION BLANKET WAIVER OF <br /> FOR WHOM THE NAMED INSURED SUBROGATION <br /> HAS AGREED BY WRITTEN <br /> CONTRACT TO FURNISH THIS <br /> WAIVER <br /> NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND <br /> ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY <br /> OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE <br /> HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br /> LIMITATIONS IN THIS ENDORSEMENT. <br /> COUNTERSIGNED AND�ryryIISSUEEDDD AT <br /> SAN FRANCISCO: APRIL 17, 20200 <br /> AUTHORIZED REPRESENT TATIVE PRESIDENT AND CEO 2572 <br /> SCIF FORM 10217 (REV.4-2018) OLD OP 217 <br />