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POLICY NUMBER: BAP 0217109-05 COMMERCIAL AUTO <br />CA 04 44 10 13 <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 <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 />Named Insured: Atlas Technical Consultants, Inc. <br />Endorsement Effective Date: <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />Any person(s) or organization(s) whom you are required <br />by written contract. <br />I Information required to complete this Schedule if not shown above will be shown in the Declarations <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 />CA 04 44 10 13 © Insurance Services Office, Inc., 2011 <br />�,s�s•� Rle%Maften dDivision <br />REviewED & APPRDva] Bv: <br />Risk Management Malyst <br />