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CNA Business Auto Policy <br /> Policy Endorsement <br /> WAIVER OF <br /> AGAIN ST OTHERS TO US (WAIVER OF SU BROGATION) <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: CLINICAL LABORATORY OF SAN BERNARDINO, INC. <br /> Endorsement Effective Date: 02/01/2025 <br /> SCHEDULE <br /> Names) Of Person(s) Or Organizations): <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 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:BUA 7036574348 <br /> Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 02/01/2026 <br /> i Endorsement No: 4; Page: 1 of 1 Policy Page: 49 of 97 <br /> i Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 <br /> I <br /> Copyright Insurance Services Office, Inc., 2011 <br />