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Insured: Cumming Management Group, Inc <br />Policy No.: arise"' <br />caa <br />Policy Effective: 1ti"t '2s Expiration: =12024 <br />Business Auto Policy <br />Policy Endorsement <br />WAIVER OF TRANSFER <br />OF RIGHTS <br />OF <br />RECOVERY <br />AGAINST OTHERS <br />TO <br />US (WAIVER <br />OF <br />SUBROGATION) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <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: <br />Endorsement Effective Date: <br />SCHEDULE <br />Name(s) Of Person(s) Or Organizatiorl <br />ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT <br />OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR <br />TO LOSS. <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 Others To Us condition does not armly to the nerson(n) or <br />organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' <br />or the "loss" under a contract with that person or organization. <br />Form No: CA 04 44 10 13 <br />Endorsement No: 7; Page 1 of 1 <br />Underwriting Company: Continental Casualty Company, 151 N Franklin St., Chicago, IL 60606 <br />w.k 1,lanoq�a�,e ni�lnloa <br />fffi•nauveD&APPRCV®BY: <br />A*fe Actvan <br />- Risk Management Specialist <br />Insurance Services Office, Inc., 2011 <br />