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POLICY NUMBER : 05786422 COMMERCIAL AUTO <br />CA 04441013 <br />THIS ENDORSEMENT CHANGES THE POLICY . PLEASE READ IT CAREFULLY <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br />This endorsement modifies insurance provided under the following : <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />With respect to coverage provided by this endorsement. the provisions of the Coverage Form apply unless modified <br />by the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy un less another date is indicated <br />below . <br />Named In ured :Villalobos & Associates Inc . <br />Endorsement Effectiv Date : 01 /22/2024 <br />Name(s) Of Person( ) Or Organization(s): <br />SCHEDULE <br />City of Pleasanton, Pleasanton Unified School District and Hacienda MD (5050 Hopyard Road) <br />are listed as certificate holder. <br />Information requ ired to complete this Schedule, if not shown above , will be shown in the Declarations. <br />The Transfer Of Rights Of Recovery Against Others <br />To Us condition does not apply to the person(s) or <br />organization(s) shown in the Schedule , but only to the <br />extent that subrogation is waived prior to the "accident" <br />or the "loss '' under a contract with that person or <br />organization . <br />CA 04441013 © Insurance Services Office , Inc., 2011 Page 1 of 1 <br />DocuSign Envelope ID: DA631F0B-3C25-4585-9688-3F2684907C15