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6.C. - Page 96 of 121 <br />19 <br />ENDORSEMENT AGREEMENT <br />WAIVER OF SUBROGATION <br />BLANKET BASIS <br />909-9552-18 <br />POLICY NUMBER <br />PAGE <br />ALL EFFECTIVE DATES ARE <br />AT 12:01 AM PACIFIC STANDARD <br />TIME OR THE TIME INDICATED <br />AT PACIFIC STANDARD TIME <br />EFFECTIVE DATE: 5/15/2018 <br />AND EXPIRING DATE: 5/15/2019 <br />Bay Area Paving Co., Inc. <br />WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE <br />LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT <br />ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION <br />NAMED IN THE SCHEDULE. <br />THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM <br />WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN <br />THIS AGREEMENT FROM US. <br />THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% <br />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 CONTRACT <br />TO FURNISH THIS WAIVER <br />NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE <br />OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS <br />POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD <br />TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br />LIMITATIONS OF THIS ENDORSEMENT. <br />��--rte-- <br />AUTHORIZED REPRESENTATIVE <br />SCIF FORM 10217 (REV. 1-2012 <br />2572 <br />121 <br />96791808 1 BAYAR-9 1 18/19 - PER PROJECT I MaryA— Worman 1 1/28/2019 9:39:16 PM (PST) I Page 8 of 8 <br />