HABITAT FOR HUMANITY - Laserfiche WebLink

Workers' Compensation and Employers'Liability Policy Named Insured Endorsement Number HABITAT FOR HUMANITY EAST BAY/SILICON 2619 BROADWAY OAKLAND,CA 94612-3107 Policy Number Symbol:WLR Number: C72316642 Policy Period Effective Date of Endorsement 10/01/2024 TO 10/01/2025 10/01/2024 Issued By(Name of Insurance Company) Indemnity Insurance Company of North America Insert the policy number.The remainder of the information isto be completed only when this endorsement is issued subsequent to the preparation of the policy. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( X ) Specific Waiver Name of person or organization: City of Pleasanton P.O. Box 520 Pleasanton, CA 94546 WAIVER OF SUBROGATION IN FAVOR OF City of Pleasanton WHEN REQUIRED BY WRITTEN CONTRACT. ( ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be INCLUDED percent of the California premium developed on payroll in connection with work performed for the above person(s)or organization(s) arising out of the operations described. r 4. Minimum Premium: INCLUDED Authorized Agent WC 90 03 75 (05/18)