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<br />POLICYNUtaR; 40Z2676 <br /> <br />ao.....ClAL CIBtft!It& LIMruTV <br />cellM1Dn <br />mlS ENDORSEMENT CHAM_ nlE POlJCY. PlEME READ rr CAREFlI.l Y. <br /> <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERs TO US <br /> <br />lhIs IIf1dorternent ~.ln8l.l'ml:8 plOYlded LInder Ih, illIIIIag: <br />COMMERCIALGa6W. UA8IUlY COVERAGE P.aRr <br /> <br />SCHBUE <br /> <br />Name of Person cro..-twn..: <br /> <br />(If IX) ~ liIppen 'baN. Info....... .....d Iv CIampi.. ....,darH... MI be II'KMn In hi Dllllnacn <br />-'PPDDIiIl. to.... ........q <br />TIle TRANSFER OF RICIfTS a= RECOVERY AGAINST t'8I T.18 CancItion (8edlm IV _ ctlMMER- <br />ow. eeNERAl LWlI.IfY COta1'lDNS) i. amlndld bJ- .......lIbW1g: <br />'NII._ Illy rIfI'd fI rccz~' M __ hive agiairl8t -..... VI' ~ showllln the SdIdje above <br />t11C8U1e of paymlrtl ... meki tr _ or damage - . -~ft your alV)Eg opendIans or ')till- ~' den. <br />um:ler a COf1b"act wlh", ~ or arganiZ8tlon ala 1__11 tile .~etetl q-al:.. hazard". <br />Ttis waiver appllt18 on,. b tile Pl!IrIlB Or organizali.. ~ III" Sctl81U9 iIIIMNe. <br /> <br />o tOyJ-A <br />1a,! 't <br />..,-rtflfJ r<C~ <br />~~ t. s~O~\\O{{\e'1 <br />~ti d :r) <br /> <br /> <br /> <br />C824041093 <br /> <br />Copyli~ lnaurance ServioeI 0Ii0e, ~ 1S92 <br /> <br />PIG.1oft D <br />