Orange County NC Website
Browse       Search
POLICY NUMBER: 5088174821 COMMERCIAL AUTO <br /> CA 04 44 0310 <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 /> BUSINESS AUTO COVERAGE FORM <br /> BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM <br /> GARAGE COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> TRUCKERS COVERAGE FORM <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by <br /> the endorsement. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br /> below. <br /> Named Insured: Buxton Company <br /> Endorsement Effective Date: <br /> SCHEDULE <br /> Name(s)Of Person(s)Or Organization(s): <br /> ANY PERSON OR ORGANIZATION FOR WHOM OR <br /> WHICH YOU ARE REQUIRED BY WRITTEN <br /> CONTRACT OR AGREEMENT TO OBTAIN THIS <br /> WAIVER FROM US. YOU MUST AGREE TO THAT <br /> REQUIREMENT PRIOR TO LOSS. <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> N <br /> O <br /> The Transfer Of Rights Of Recovery Against Others <br /> 0 <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 04 44 0310 Copyright, Insurance Services Office, Inc.,2009 Page 1 of 1 <br />