Laserfiche WebLink
POLICY NUMBER: BAP2040735-10 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 <br />indicated below. <br />Named Insured: Ocean Blue Environmental Services, Inc. <br />Endorsement Effective Date: 07/01/23 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />Any Principal wherein such waiver has been included before loss as part of a contractual undertaking by 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 <br />prior to the "accident' or the 'loss" under a contract <br />with that person or organization. <br />Risk MRrugaWdDMslart <br />f wEwED 6 MrRovm Br. <br />' EM A+-P ACIW44 <br />Risk Management Spetlakst <br />Of <br />CA 04 44 10 13 © Insurance Services Office, Inc.,2011 Page 1 of 1 <br />