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POLICY NUMBER: EMR-00000457-00 COMMERCIAL GENERAL LIABILITY <br /> CG24041219 <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 /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Person(s)Or Organization(s): <br /> Any person or organization against whom you have agreed to waive your right of recovery in a fully executed <br /> written contract or written agreement, provided such contract or agreement was executed prior to the date of the <br /> "occurrence", loss, injury or damage. <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> The following is added to Paragraph 8.Transfer Of Rights Of Recovery Against Others To Us of Section IV- <br /> Conditions: <br /> We waive any right of recovery against the person(s) or organization(s)shown in the Schedule above because of <br /> payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived <br /> its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the <br /> person(s) or organization(s)shown in the Schedule above. <br /> % orz,N�F Risk Management Di Sian <br /> REVIEWED&APPROVED BY. <br /> F <br /> � tq t�czve�c; <br /> � Risk Management Specialist <br /> CG 24 04 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 <br />