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Workers' Compensation and Employers' Liability Policy <br /> <br /> <br />Named Insured . <br />MOBILE MINI, INC <br />4646 E. VAN BUREN STREET <br />PHOENIX, AZ 85008 <br />Endorsement Number <br />Policy Number <br />Symbol: WLR Number: C67814964 <br />Policy Period <br />11-01-2020 TO 11-01-2021 <br />Effective Date of Endorsement <br />11-01-2020 <br />Issued By (Name of Insurance Company) <br />ACE AMERICAN INSURANCE COMPANY <br />Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. <br /> <br /> <br />UTAH WAIYER OF SUBROGATION ENDORSEMENT <br />This endorsement applies only to the insurance provided by the policy because Utah is shown in Item 3.A. of the Information <br />Page. <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right <br />against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work <br />under a written contract that requires you to obtain 1his agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the schedule. Our waiver of rights does <br />not release your employees' rights against third parties and does not release our authority as trustee of claims against thir d <br />parties. <br />Schedule <br /> <br />ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR <br />RIGHT OF RECOVERY IN A WRITIEN CONTRACT, PROVIDED SUCH CONTRACT WAS <br />EXECUTED PRIOR TO THE DATE OF LOSS. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Authorized Agent <br /> <br /> <br /> <br />WC 43 03 05 (l0/00) Ptd. in U.S A. <br />11-01-2021 TO 11-01-2022 11-01-2021 <br />C68929507 <br />DocuSign Envelope ID: F8EBDA2B-E1C9-4C03-80ED-E37FE36A5811