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CNA <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br />Business Auto Policy <br />Policy Endorsement <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: JIG CONSULTANTS <br />Endorsement Effective Date: 09/01/2024-09/01/2025 <br />SCHEDULE <br />Names) Of Person(s) Or Organization(s): <br />ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY <br />WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. <br />YOU MUST AGREE TO THAT REQUIREMENT PRIOR 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 apply to the person(s) 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 Policy No: 7038807240 <br />Endorsement Effective Date: Endorsement Expiration Date: BUA Policy Effective <br />09/01/2024 Endorsement No: Page: 1 of 1 Date: 09/01/2024 <br />Underwriting Company: <br />l opyrlgnt Insurance bervices Uttice, Inc., L011 <br />