Orange County NC Website
<br /> <br /> <br /> <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Insert the policy number. The remainder of the information is to be completed only when this endorsement issued subsequent to the preparation of the policy. <br /> <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This Endorsement modifies insurance provided under the following: <br /> <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIERS COVERAGE FORM <br />AUTO DEALERS COVERAGE FORM <br /> <br /> <br />We waive any right of recovery we may have against the person or organization shown in the Schedule below because of <br />payments we make for injury or damage arising out of the use of a covered auto. The waiver applies only to the person or <br />organization shown in the SCHEDULE. <br /> <br /> <br />SCHEDULE <br />Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided <br />such contract was executed prior to the date of loss. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Authorized Representative <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DA-13115a (06/14) Page 1 of 1 <br />Named Insured: WILLSCOT MOBILE MINI HOLDINGS CORP Endorsement Number <br /> <br />Policy SymbolI Policy Number I Policy Period <br />ISA H25313756 11/01/2020 TO 11/01/2021 <br />Effective Date of Endorsement <br />11/01/2020 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />H2554576A 11-01-2021 TO 11-01-2022 11-01-2021 <br />DocuSign Envelope ID: F8EBDA2B-E1C9-4C03-80ED-E37FE36A5811