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2025-378-E-IT Dept-RecTrac-Remove CYMS module
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2025-378-E-IT Dept-RecTrac-Remove CYMS module
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Last modified
7/2/2025 8:24:03 AM
Creation date
7/2/2025 7:49:54 AM
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Template:
Contract
Date
6/21/2025
Contract Starting Date
6/21/2025
Contract Ending Date
6/25/2025
Contract Document Type
Contract
Amount
$36,695.34
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Docusign Envelope ID:C101DF94-8EEA-4210-A163-1FB71C9DF46C <br /> CNA Business Auto Policy <br /> Policy Endorsement <br /> WAIVER'OF'TRANSFER'bF • RECOVERY <br /> . • • 01 SUBROGATION) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> AUTO DEALERS COVERAGE FORM <br /> BUSINESS AUTO COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> V <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br /> 31 <br /> 9 G modified by the endorsement. <br /> n ¢ <br /> z This endorsement changes the policy effective on the inception date of the policy unless another date is <br /> indicated below. <br /> n <br /> Named Insured: CLUBESSENTIAL HOLDINGS <br /> ' LLC Endorsement Effective Date: 1 1/15/2024 <br /> SCHEDULE <br /> Name(s) Of Person(s) Or Organization(s): <br /> n <br /> 3 ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT <br /> y OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR <br /> r <br /> TO LOSS. <br /> V <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> F <br /> i The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or <br /> organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" <br /> or the "loss" under a contract with that person or organization. <br /> Form No: CA 04 44 10 13 Policy No: 6079684568 Policy <br /> Endorsement Effective Date: Endorsement Expiration Date: Effective Date:11/15/2024 Policy <br /> Endorsement No: 1; Page: 1 of 1 Page: 37 of 88 <br /> Underwriting Company:The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 <br /> c Copyright Insurance Services Office, Inc.,2011 <br />
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