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POLICY NUMBER: COMMERCIAL AUTO <br /> CA 04 44 10 13 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />CA 04 44 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1 <br /> <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br /> <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br /> <br />Named Insured: <br />Endorsement Effective Date: <br /> <br />SCHEDULE <br /> <br />Name(s) Of Person(s) Or Organization(s): <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> <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 <br />the extent that subrogation is waived prior to the <br />‘‘accident’’ or the ‘‘loss’’ under a contract with that <br />person or organization. <br />(25)7364-82-69 <br />THE TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US CONDITION <br />DOES NOT APPLY TO THE PERSON(S) OR ORGANIZATION(S) SHOWN IN THE <br />SCHEDULE, BUT ONLY TO THE EXTENT THAT SUBROGATION IS WAIVED PRIOR <br />TO THE "ACCIDENT" OR THE "LOSS"UNDER A CONTRACT WITH THAT PERSON <br />OR ORGANIZATION. <br />Docusign Envelope ID: 0AE19FB4-94DC-42D8-9154-6DA4F0413C5E