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POLICY NUMBER: AECO05699101 <br />COMMERCIAL AUTO <br />CA04441013 <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 />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER 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: OCEAN BLUE ENVIRONMENTAL SERVICES, INC. <br />Endorsement Effective Date: July 1, 2021 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />WHERE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT EXECUTED <br />PRIOR TO LOSS (EXCEPT WHERE NOT PERMITTED BY LAW). <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 <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 10 13 © Insurance Services Office, Inc., 2011 <br />�oRaN <br />} z <br />a <br />RiskMmWmentDMsian <br />REVIEWED & APPROVED BY.- <br />p R. vj&wd <br />Risk Management Analyst <br />