Laserfiche WebLink
ENDORSEMENT AGREEMENT <br />6.E. - Page 14 of 18 WAIVER OF SUBROGATION <br />9018429-18 <br />STATE RENEWAL <br />(�QM PEN 5PT ION <br />INSURANCE NE <br />FUND 5-71-83-75 <br />PAGE 1 <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE FEBRUARY 8, 2019 AT 12.01 A.M. <br />ALL EFFECTIVE DATES ARE AND EXPIRING JULY 12, 2019 AT 12.01 A.M. <br />AT 12:01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />REDWOOD CITY POLICE ACTIVITIES LEA <br />3399 BAY RD <br />REDWOOD CITY, CA 94063 <br />ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, <br />IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND <br />WAIVES ANY RIGHT OF SUBROGATION AGAINST, <br />IMP III IIII]^.LeZ*)1ZNwwil <br />WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS <br />POLICY IN CONNECTION WITH WORK PERFORMED BY, <br />REDWOOD CITY POLICE ACTIVITIES LEA <br />IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN <br />PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION <br />OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE <br />EMPLOYER. <br />IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH <br />EMPLOYEES SHALL BE INCREASED BY 03%. <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 />FIELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br />LIMITATIONS IN THIS ENDORSEMENT. <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: <br />v4 <br />AUTHORIZED REPRESENT 1VE <br />SCIF FORM 10217 IREV A-2018; <br />FEBRUARY 12, 2019 <br />PRESIDENT AND CEO <br />2570 <br />61 <br />OLD DP 217 <br />