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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 /> <br />Any person or organization with whom you have a written contract currently in effect or becoming effective <br />during the term of this policy. <br /> <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 <br />Others To Us condition does not apply to the <br />person(s) or organization(s) shown in the Schedule, <br />but only to the extent that subrogation is waived prior <br />to the "accident" or the "loss" under a contract with <br />that person or organization. <br /> <br /> <br />DocuSign Envelope ID: 81A61471-345A-47F9-8A2D-36F7929A6637