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COMMERCIAL AUTO <br />CA 04 44 10 13 <br />POLICY NUMBER: 90-16877-03 00 191 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF TRANSFER OF RIGHTS OF <br />RECOVERY AGAINST OTHERS TO US <br />(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 <br />the Coverage Form apply unless modified by the endorsement. <br />This endorsement changes the.policy effective on the inception date of <br />the policy unless another date is indicated below. <br />+----=----------------------- ------------------------------ -------------+ <br />INAMED INSURED: MUSCO-CORPORATION I <br />ENDORSEMENT EFFECTIVE DATE: 07-01-21 <br />+-----------------------------------------------------------------------+ <br />SCHEDULE <br />+-----------------------------------------------------------------------+ <br />INAME(S) OF PERSON(S) OR ORGANIZATIONS(S): I <br />IALL WRITTEN CONTRACTS PROVIDED SUCH CONTRACT WAS MADE PRIOR I <br />ITO LOSS. I <br />I I <br />I I <br />I <br />I <br />I I <br />I I <br />+-----------------------------------------------------------------------+ <br />(Information required to complete this°.Schedule, if not shown above, I <br />twill be shown in the Declarations. <br />+-----------------------------------------------------------------------+ <br />The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition does <br />not apply to the person(s) or organizations(s) shown in the Schedule, but <br />only to the extent that subrogation is.waived prior to the "accident" or <br />the "loss" under a contract with that person or organization. <br />CA 04 44 10 13. <br />Copyright, Insurance Services Office, Inc., 2011 <br />MUS 90-16877-03 00 191 <br />Page �01 <br />a a orz,N F Risk Mouganimi Division <br />REVIEWED & APPRovED By. <br />�rf Risk Management Analyst <br />01T1RORG <br />