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POLICY NUMBER: AS5-621-095327-042 <br />COMMERCIAL AUTO <br />CA04441013 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER S <br />AGAINT OTHERS TO US (WAIVER OF SUBROGATON) <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 />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />Where required by contract or written agreement prior to loss and allowed by law. <br />be shown in <br />to <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 />Rj kM,,gm dD-,ViSWn <br />REVIEWED & APPROVED 6Y: <br />�' Risk Management specialist <br />