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Page 5 of 13 <br /> 26 <br /> WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS <br /> Named Insured Republic Services, Inc. Endorsemert Number <br /> 258 <br /> Polioy Symbol Policy Number Policy Period Efreclive Date of Endorsement <br /> ISA H11374950 QW3012026 TO 06/30/2027 <br /> Issued By(Name of Insurance Company) <br /> ACE American Insurance Company <br /> Irsert the policy number.The rerrainder of the information is to oe completed only when this endorsement is issued s jbsequent to the preparation or the policy. <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This Endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> MOTOR CARRIERS COVERAGE FORM <br /> AUTO DEALERS COVERAGE FORM <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 /> SCHEDULE <br /> Any person or organization against wham 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 /> Authorized Representative <br /> DA-13115a(06/14) Page 1 of 1 <br />