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POLICY NUMBER: 2024-09201 COMMERCIAL AUTO <br />CA04441013 <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 <br />indicated below. <br />Named Insured: Orange County Children's Therapeutic Arts Center <br />Endorsement Effective Date: June 16, 2025 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />Any person or organization with whom you have a written contract currently in effect or becoming <br />effective during the term of this policy. <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 04 44 1013 0 Insurance Services Office, Inc., 2011 Page 1 of 1 <br />