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DocuSign Envelope ID: 12DCC4E1-4D61-4DOE-A2A2-7C6E689613AC <br /> Muter Construction LLC <br /> WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br /> AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br /> POLICY NUMBER: S2371019 COMMERCIAL AUTO <br /> CA 04 44 03 10 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <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 the <br /> endorsement. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. <br /> Named Insured: Muter Construction LLC <br /> Endorsement Effective Date: 1/9/2019 <br /> SCHEDULE <br /> Name(s)Of Person(s)Or Organization(s): <br /> Orange County <br /> Project Location: <br /> Orange County <br /> 2551 Homestead Road <br /> Chapel Hill,NC 27516 <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> The Transfer Of Rights Of Recovery Against Others To <br /> Us Condition does not apply to the person(s) or organiza- <br /> tions) shown in the Schedule, but only to the extent that <br /> subrogation is waived prior to the "accident" or the "loss" <br /> under a contract with that person or organization. <br /> Copyright, Insurance Services Office, Inc.,2009 CA 04 44 0310 <br /> Page 1 of 1 <br /> AGENT'S COPY <br />