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STATE <br />COMPE;tlSATION <br />INSUFANCE FUND <br />HOME OFFICE <br />SAN FRANCISCO <br />ALL EFFECTIVE DATES <br />AT 12:01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />ENDORSEMENT AGREEMENT <br />WAIVER OF SUBROGATION <br />BLANKET BASIS <br />EFFECTIVE March 28, 2024 AT 12:01 AM. <br />AND EXPIRING March 28, 2025 AT 12:01 <br />AM <br />CAZADORO CONSTRUCTION INC <br />1485 BAY SHORE BLVD# 386 <br />SAN FRANCISCO, CA 94124 <br />Page 1 <br />92115012024 <br />RENEWAL <br />Greater Bay Area <br />8847524 <br />WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN <br />INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST <br />THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. <br />THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER <br />A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. <br />THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE <br />TOTAL POLICY PREMIUM. <br />SCHEDULE <br />PERSON OR ORGANIZATION JOB DESCRIPTION <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 SUBROGATION <br />NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, <br />AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL <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: March 24, 2022 <br />ilfJft; <br />AUTHORIZED REPRESENTATIVE 2572 <br />SCIF FORM 10217 (REV. 4 -2018) <br />lJ;_ <br />PRESIDENT AND CEO <br />OLD DP 217 <br />DocuSign Envelope ID: 107A63AD-2653-4332-ACA2-6421067C510E