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POLICY NUIVRER: CAP 3758662 COM EFIgAL AUTO <br /> CA04441013 <br /> THS ENDOFMIEW CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> WAIVER OF TRANSFER OF RIC4-ITS OF RECOVERY <br /> AGAINST OTHERS TO LIS (WAIVER OF SUBROGAw" <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 modified by <br /> the endorsement. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br /> below. <br /> NamedlnsUred: PALP INC. DBA EXCEL PAVING COMPANY <br /> EndWSe A Effective Date: 0 6/01/2 0 2 5 <br /> SCHEDULE <br /> Names)Of Person(s)Or Organization(s): <br /> WHERE REQUIRED BY AN EXECUTED WRITTEN CONTRACT <br /> Information required to complete this Schedule,if not shown above,will be shown in the Declarations. <br /> The Transfer Of Flights Of Recovery Against Others <br /> To Us condition does not apply to the person(s) or <br /> organizations) shown in the Schedule, but only to the <br /> extent that subrogation is waived prior to the "accident" <br /> or the "loss" under a contract with that person or <br /> organization. <br /> CA 04 44 10 13 0 Insurance Services Office, Inc.,2011 Pagel of 1 <br />