Laserfiche WebLink
4/26/2024 <br /> POLICY NUMBER: BAP557108811 COMMERCIAL AUTO , <br /> CA 04 44 10 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:All American Asphalt <br /> Endorsement Effective Date: 08/01/2023 <br /> SCHEDULE <br /> Name(s) Of Person(s) Or Organization(s): <br /> ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN <br /> CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE <br /> ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER <br /> THIS POLICY <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 city of Santa Ana. <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 /> r9 �s c Risk Mans�ententDMn sto <br /> 3, REVIEWED&APPROVED BY: <br /> Risk Management Specialist i <br /> CA 04 4410 13 ©Insurance Services Office, Inc., 2011 / <br /> 79714219 1 23 (01] Standard with $5mm XS 1 Lisseth Medina 1 4/26/2024 10:52:32 AM (PDT) 1 Page 10 of 11 <br />