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ALLIED UNIVERSAL JANITORIAL (6)
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ALLIED UNIVERSAL JANITORIAL (6)
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Last modified
1/19/2023 1:37:40 PM
Creation date
10/31/2022 11:08:54 AM
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Template:
Contracts
Company Name
ALLIED UNIVERSAL JANITORIAL
Contract #
A-2019-190-05
Agency
Public Works
Expiration Date
10/31/2023
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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POLICY NUMBER: RAD943781805 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 <br />the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />NamedInsured: ALLIED UNIVERSAL TOPCO, LLC <br />Endorsement Effective Date: January 1, 2022 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s), <br />Any person or organization where waiver of our right to recover is required by written contract with such person <br />or organization provided such contract was executed prior to the date of loss. <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 <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 c0 Insurance Services Office, Inc., 2011' <br />RItlRM=agvnm1l Msknt :i <br />�j REMEwm & APPRovm By. <br />®" Risk Management Analyst <br />
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