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POLICY NUMBER: BUA 7040001609 COMMERCIAL AUTO <br />CA 04 4410 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: Cannon Corporation <br />Endorsement Effective Date:09/91/2024 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />All persons or organizations as required by written contract or agreement <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 prior <br />to the "accident' or the 'loss" under a contract with <br />that person or organization. <br />CA 04441013 © Insurance Services Office, Inc., 2011 <br />Riele Management DivL M <br />REVIEWED/& APPROVED BY. <br />® Risk Management Spedalist <br />of <br />81452588 1 24-25 GL/AL/WC/UM/PL I oaten Smith 1 8/19/2024 1,32:46 PM (PDT) I Page 12 of 13 <br />rage -j or i <br />