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Attachment Code:D668643 Certificate ID:20958134 <br /> POLICY NUMBER: PHPK2713505-001.. COMMERCIAL AUTO <br /> CA 04 44 03 10 <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 /> BUSINESS AUTO COVERAGE FORM <br /> BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM <br /> GARAGE COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> TRUCKERS COVERAGE FORM <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply <br /> unless 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: <br /> Endorsement Effective Date: <br /> SCHEDULE <br /> Name(s) Of Person(s) Organization(s): <br /> Any person or organization who you are required to add by written contract which is executed prior <br /> to the occurrence of a loss to waive your rights of recovery, except for a loss resulting from the sole <br /> negligence from that person or organization. <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 Oth- <br /> ers 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 <br /> prior to the "accident" or the 'loss" under a contract <br /> with that person or organization. <br /> CA 04 44 03 10 PAGE 1 OF 1 <br /> i <br />