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POLICY NUMBER: JAAU551946 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 <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: J and A Engineering Corporation DBA J and A Fence <br />Endorsement Effective Date: 07/25/2024 <br />Transaction Date: 07/25/2024 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />Any person or organization for whom the named insured has agreed by written contract to furnish this waiver. <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 />RlakManagemadDlvisian <br />E AE WED & APPROVED BY. <br />1-4 <br />AjAe o, <br />,,a zva <br />RISC Management Specialist <br />Page 1 of 1 <br />