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PROOF OF INSURANCE (2017 - 2018) CLOSED
( I Policy Number: 0400701436 Date Entered: 1/17/2017 CERTIFICATE OF LIABILITY INSURANCE 1/1�/20 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER GAME^cTDiane De$i1Va Mary Barnard. Insurance 2190 Stokes Street PHONE-Exec: (408)286-1334 I FAX (408)286-6425 E-MAIL ennie @barnardinsurance.cora Suite 201 agnr�ESS:g INSURER(S)AFFORDING COVERAGE NAIC# San Jose CA 9512$ INSURER A Caitlan Specialty Insurance INSURED Range Maintenance Services, L.L.C. 33 INSURER B Donna Foggiato 3 INSURER C: I� 301 Mary Belle 'Way �INSURER Angels Camp, CA 95222 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUER' POLICY EFF POLICY EXP LIMITS LTR INSD VdVD POLICY NUMBER fMMDDfYYYYI fMMfDDlYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE ® OCCUR 0400701821 1/20/2017 1/20/2018 I PRA MS ISE (Ent occurrence) $ 100,000 i, MED EXP(Any one person) $ 5,000 I' PERSONAL&ADV INJURY $1,000,000 i' GENI AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑jEO 171 LOC I PRODUCTS-COMPIOPAGG $ INCLUDED OTHER: !€ $ AUTOMOBILE LABILITY I COMBINED SINGLE L€Mrr $ III (Ea accident) ANYAUTO I BODILY INJURY(Per person) $ OWNED SCHEDULED I BODILYINJURY(Peraccdon€) $ I' AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY I (Peraccident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ .i EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION I STATUTE I I FIR EMPLOYERS'LIABILITY 'S ANY PROPRIETORIPARTNERIEXECUTIVE NIA I E.L.EACH ACCIDENT $ OFFIOFRIMEMeER EXCLUDED? (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $ Ryes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) *TEN DAYS NOTICE OF CANCELLATION APPLIES FOR NON—PAYMENT OF PREMIUM 30 DAYS FOR ALL OTHER. RE: ALL CALIFORNIA OPERATIONS. CERTIFICATE HOLDER IS NAMED AS ADDITIONAL, INSURED. is CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO, CITY CLERK ATTENTION: BRIAN EVANSKI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN �I 350 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGUNDO, CA 90245 J AUTHORIZED REPRESENTA7� I 0 1988-2015 A�`pRD CORPORATION. All rights reserved. j ACORD 25(2016/03) The ACORD name and logo are registered marks of ACOR llf Produced using Forms Bass Plus software.www.FormsBoss.com; Impressive Publishing 800-208-1977 t I POLICY NUMBER: 0400701 821 COMMERCIAL. GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE. PART SCHEDULE Name Of Additional Insured Person(s) Or Omanization(s). I Location(s) Of'Covered Operations CITY OF EL SEGUNDO CI'T'Y CLERK 350 MAIN STREET EL SEG=O, CA 90245 Information required to complete this Schedule. if not shown above. will be shown in the Declarations. � A. Section If -- Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury" "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor iaw; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide forsuch additional insured. CG 2010 0413 ©Insurance Services Office, Inc., 2012 page 1 of 2 1 C � C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section Ill —Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 2010 04 13 Policy Number: BAPOIG5200 Date Entered: 10/21/2016 ACOR,L�� DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 10/22/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER I CONTACT Diane DeSi�va Mary Barnard Insurance !INAME' 2190 Stokes Street 1(NC�No.Ext): (408)286-1334 I arc.Na): {408)286 6425 E-MAIL Suite 201 ADDRESS:jennie�barnardinsurance.coin INSURERS}AFFORDING COVERAGE NAIC# San Jose CA 95128 INSURER ACENTURY NATIONAL INSURANCE COMPANY : INSURED Range Maintenance Services, L.L.C. INSURER 6: Donna Foggiato INSURER C: 301 Mary Belle Way INSURER D: Angels Camp, CA 95222 [INSURER E: f INSURER F: . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY£PF POLICY EXP/Y LIMITS LTR INSD WVD POLICY NUMBER (MMlDDNYYY) (MMIDDYYY O COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $RENTED CLAIMS-MADE 171 OCCUR PR M SESO(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENIAGGREGATE LINTAPPLIES PER: GENERAL AGGREGATE $ POLICY F] JECOT- LOG I PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 (Fa accident) ANYAUTO I BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS I BODILYINJURY{Peraccident} $ A HIRED NON-OWNED BAP0165200 11/24/2016 11/24/2017 I PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB H CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I PER I 10RH AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEWFXFCUTIVE Y❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH} I E.L.DISEASE-LA EMPLOYEE $ K yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES (ACORD 401,Additional Remarks Schedule,may be attached if more space is requlmd) Thirty Days Notice of Cancellation;Ten Days Notice Due To Non-Payment Of Premium CITY OF EL SEGUNDO, CITY CLERK ARE NAMED AS ADDITIONAL INSURED AS PER ADDITIONAL INSURED ENDORSEMENT ATTACHED. CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO - CITY CLERK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGUNDO, CA 90245 AUTHORIZED REPRE TIVE I 4AIJ I 01988-2095 RD CORPORATION. All rights reserved. ACORD 25(2096103) The ACORD name and logo are registered marks of AGO Produced usina Forms Bass Plus software.www.FormsBoss.com:InnDressive Publishina 800-208-1977 CENTURY-NAAGNAL R0.EoX 3999 o North Hollywood, CA 91609-0599 A NAT10NAL GENERAL G0MPANY For Service Call Your Broker For Claims Call:800-733-1980 Name of Insured Endorsement Effective.hate and Time: RANGE MAINUNANCE SVCS LLC 11/2412016 at 12:01 AM Policy Number: Policy Term Covers from: Endorsement.Number: BAP0165200 1 12:01 AM on 11124/2016 to 11/24/2017 at 12:01AVS 000 -Name of Agency: CHAIR&ASSOC INS BROKERS INC 122800 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALTERED CERTIFICATE ENDORSEMENT IN CONSIDERATION OF THE ADDITIONAL PREMIUM LISTED BELOW, CENTURY- NATIONAL INSURANCE COMPANY AGREES TO ISSUE A CERTIFICATE, REQUIRED BY AN ENTITY DOING BUSINESS WITH THE INSURED THAT 1S NOT A STANDARD CERTIFICATE FORM. (OR AGREES TO ISSUE AN ACORD CERTIFICATE WITH ITS STANDARD LANGUAGE DELETED OR ALTERED). TO THE ENTITY LISTED BELOW. BECAUSE THIS IS NOT STANDARD CERTIFICATE AND GENERATES ADDITIONAL PROCESSING TIME, THERE IS A FEE FOR THIS CERTIFICATE AS SET OUT BELOW. CERTIFICATE HOLDER 1 PREMIUM $50 CITY OF EL SEGUNDO CITY CLERK ATTN:BRIAN EVANSKI 350 MAIN STREET EL SEGUNDO CA 90245 i i ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. Date Printed: 12/0212016 - - --- - - NAZIG MAMPOUR.IAN f CENTURY-NATIONAL P.O.Box 3999 0!North Hollywood,CA 91609-0599 A NAT I 0 N A L GENE R A L COMPANY For-Service Call Your Broker. For Claims Call.80o-733-1989 CHAIR&ASSOC INS BROKERS INC RANGE MAINTENANCE SVCS LLC 3200 EL CAMINO REAL STE 290 JOHN&DONNA FOGGIATO DBA IRVINE CA 92602-9382 309 MARY BELLE WAY ANGELS CAMP CA 95222 (949)722-4977 Name of Insured: RANGE MAMENANCE SVCS LLC I Endorsement Effective Bate and Time: 11/.2412416 at 12:01 AM I Policy Number: (Policy Term.Covers from: Enrlorsemcut Number: 13AP0165200 12:01 AM on 11/24/2016 to 11/24/2017 at 12:01AM ( 000 Name of Agency: CHAIX&ASSOC INS BROKERS INC 922800 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Additional Insured Endorsement IT IS AGREED THAT INSURANCE AFFORDED BY THE ABOVE POLICY SHALL APPLY TO THE PARTY(S) NAMED BELOW,AS THEIR INTEREST MAY APPEAR BUT SHALL NOT OPERATE TO INCREASE THE LIMITS OF THE COMPANY'S LIABILITY.ANY ADDITIONAL INSURED LANGUAGE ON A CERTIFICATE OF INSURANCE IS VOID. The additional insured named below is only an insured for liability which is the result of an act or omission of the "NAMED INSURED"of the policy and shall have no coverage under this endorsement or the policy for its own acts or omissions,those of its agents or employees,or those of any other person or entity for which it is vicariously liable,save for acts of omissions of the"NAMED INSURED"of the policy. Further,any insurance provided by this endorsement shall be excess to all other insurance available to any person or entity who becomes an insured by reason of this endorsement whether the other insurance is primary or excess and whether or not the other insurance is collectible. In the event the other insurer has a duty to defend any person or entity added to our policy by reason of this endorsement,we will have no duty to defend that person or entity however,we may elect to do so, and, if we do,we will be entitled to the rights of any person or entity we do defend against the other insurer. ADDITIONAL INSURED CITY OF EL SEGUNDO CITY CLERK ATTN:BRIAN EVANSKI 350 MAIN STREET EL SEGUNDO CA 90245 ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. Date Printed. 12102/2016 NAZIG MAMPOURIAN Policy Number. 1760432-16 Date Entered: 11/4/2016 A�" CERTIFICATE OF LIABILITY INSURANCE I DATE(MMrDQIYYYY) 11/4/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER I NAME: Diane DeSi Iva Mary Barnard Insurance PHONE FAX 2190 Stokes Street I(Arc,No.Ext): 1408}286-1334 !(Arc,Noy: (408)286-fi425 IE-MAIL Spite 201 ADDRESS:3 ennie @barnardinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Sari Nose CA 95128 INSURERA:STATE COMPENSATION INSURANCE FUND INSURED Range Maintenance ServiCea, L.L.C. INSURER B: Donna FOggiato I INSURERC: 301 Mary Belle Way I INSURER D: Angels Camp, CA 95222 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUER OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER (MMIDDIYYYYI IMMIDDIYYYYS LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGETORENTED CLAIMS-MADE 1-1 OCCUR I PREM SES Ea occurrence) $ MED EXP(Anyone person) $ PERSONAL&AOVINJURY $ GENT AGGREGATE LIMITAPPLIES PER: I GENERAL AGGREGATE $ POLICY❑ JECOT LOC I PRODUCTS-COMPlOPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) mm ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED 80DILYINJURY{Peraocident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR k-1 CLAIMS-MADE AGGREGATE $ S j DI=D I 1 RETENTION$ II $ WORKERS COMPENSATION f STATUTE I OTH AND EMPLOYERS'LIABILITY 1 000 000 A ANY PROPRIETOR/PARTNERIEXECUTIIJE Y NIA 1760432-16 11/01/2016 11/01/2017 I EL.EACH ACCIDENT $ r OFFICERIMEMBEREXCWDED7 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,0()0,000 If yes,describe under 1 000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Waiver of Subrogation Attached. CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO CITY CLERK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGU DO, CA 90245-3813 AUTHORIZED REPRE TIVE I ©1988-20'15 ffORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORO Produced usino Forces Boss Plus software.www.FormsBoss.com:Impressive Publishins 800-208-1977 f ®ma�yy p� ENDORSEMENT AGREEMENT BROKER COPY WAIVER OF SUBROGATION BLANKET BASIS 1760432-16 RENEWAL NA HOME OFFICE 6-17--16--03 SAN FRANCISCO EFFECTIVE NOVEMBER 1, 2016 AT 12.01 A.M. PAGE 1 OF 1 ALL EFFECTIVE DATES ARE AND EXPIRING NOVEMBER 1, 2017 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME RANGE MAINTENANCE SERVICES, LLC PO BOX 2270 ARNOLD, CA 95223 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. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: NOVEMBER 3, J2016 J/ 2572 AUTHORIZED REPRESENT IVE PRESIDENT AND CEO SCIP FORM 10217 IRHV.7-2014$ OLD DP 217