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POLICY NUMBER. 73AP$007393 COMMERCIAL AUTO <br />_.. CA 04 441013 <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 UBROGATION) <br />This endorsement modifies insurance provided under :the follovAng: <br />AlJT€? 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 Fora 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: USGI DBAUpland. Group <br />Endorsement Effective Date: <br />SCHEDULE <br />Name(s) Of Person(s) Or Organizations): <br />Blanket where required by Written agreementexecuted prior to loss <br />lnfarrnadarr 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 organm lon(O 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 44.1013 O Insurance: Serrices Office, Inc., 2011 <br />o ,._-- RialcMsnsge�nen{Divlsfnn <br />c-A°.' REVIEWED &APPROVED BY: <br />Risk Management Specialist <br />