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ATKINS NORTH AMERICA A-2010-005 REVIEWED BY: EUNICE HERE IA (PG 6 OF 13) <br />NT IA WA <br />�KXII!11-11 10161 &0 1 M811:4 10-IM I <br />. i <br />19:161211111" 1wasioly,14 W. - e <br />Name of Persons or Organization: Any person or organization with whom you have agreed in <br />writing to waive any right of recovery prior to a loss. <br />Information required to complete this Schedule, if not shown in the Declarations. <br />The following is added to Paragraph 8. Transfer o-1-' <br />Rights of Recovery Against Others To Us of <br />Section IV — Conditions: <br />This endorsement is executed by the Greenwich Insurance <br />Company <br />Premium $ <br />Effective Date 4/1/2015 Expiration Date 4/1/2016 <br />For attachment to Policy No. CGG740901604 <br />Issued To Atkins North America, Inc. <br />Issued <br />Countersigned by <br />Authorized Representative <br />Sales Office and No. Rnd, Serial No. 17 <br />CG 24 04 05 09 QSO Properties, Inc, <br />