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Attachment Code:D465278 Certificate ID: 19487723 <br /> POLICY NUMBER: BAP 9830390 COMMERCIAL AUTO <br /> CA 04 4410 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: DAVID EVANS AND ASSOCIATES, INC. <br /> SCHEDULE <br /> Name(s) Of Person(s) Or Organization(s): <br /> ANY PERSON OR ORGANIZATION THAT REQUIRES YOU TO WAIVE YOUR <br /> RIGHTS OF RECOVERY IN A WRITTEN CONTRACT OR AGREEMENT WITH THE <br /> NAMED INSURED. <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 /> APPROVED <br /> By Cynthia Mora at 10:55 am, Dec 11, 2024 <br /> CA 04 4410 13 © Insurance Services Office, Inc., 2011 Page 3 of 6 `'' <br />