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Fm:Mt. Diablo Insurance Brokers (12099320610) 12:59 02/11/14 EST Pg 8-8 <br /> ENDORSEMENT AGREEMENT <br /> STATE WAIVER OF SUBROGATION REP D$ <br /> BLANKET BASIS 9073375-1.3: <br /> FUND NEW <br /> NA: <br /> HOME OFFICE 4-72-93-95 <br /> SAN FRANCISCO EFFECTIVE OCTOBER 1, 2.013 AT 12.01 A.M. PAGE T OF 1 <br /> ALLEFFECTIVH DATES ARE AND EXPIRING OCTOBFR 1, 2014 AT 11.01 A.M. <br /> AT 12 01 AM PACIFIC <br /> STANDARD TIME OR THE <br /> TIME INDICATED AT <br /> PACIFIC STANDARD TIME <br /> L$B Environmental, Inc. <br /> 893 Boggs Terrace <br /> Fremont, CA 94539 <br /> WE HAVE THE RIGffr TO RECOVER OUR PAYMENTS FROM ANYONE <br /> LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL <br /> NOT ENFORCE OUR RIGHT AGAINST TETE 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 AGREEM� FROM US. <br /> THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE <br /> 2.GOY. OF THE TOTAL POLICY PREMIUM. <br /> SCHEDULE <br /> PERSON OR ORGWZATION JOB DESCRIPTION <br /> ANY PERSON OR ORGANIZATION BLANKET WAIVER OF <br /> FOR WHOM THE NAMED INSURED SUBROGATION <br /> HAS AGREED BY WRITTEN <br /> CONTP.ACT TO FURNISH THIS <br /> WAIVER <br /> NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE <br /> OR EXTEND ANY OF THE TERMS, COMMONS, AGRE.OJENTS, OR LIMITATIONS Or- TNIS <br /> POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE <br /> HELD TO VARY; ALTER, WANE OR LIMIT THE.TERMS, CONDITIONS, AGREEMENTS OR <br /> LIMITATIONS OF THIS ENDORSEMENT. <br /> COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: OCTOBER 4, 2013 <br /> AUTHORIZED REPRESENTA IVE PRESIDENT AND CEO OLD DP 217 <br /> SCID FORM.10217 MV•1-2D121 <br />