Laserfiche WebLink
POLICY NUMBER: RAD500025701 <br />XIC 404 1007 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />BUSINESS AUTO PHYSICAL DAMAGE 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 />Changes In Conditions <br />The Transfer Of Rights Of Recovery Against Others To Us Condition is changed by adding the <br />following: <br />We waive any right of recovery we may have against the person or organization shown in the Schedule <br />below because of payments we make for "bodily injury" or "property damage" arising out of your ongoing <br />operations or work you performed under a contract with that person or organization. This waiver applies <br />only to the person or organization shown in the Schedule below: <br />SCHEDULE <br />Name of Person(s) or Organization (s): <br />Any person or organization for whom you are required to waive your right of recovery under the terms of a <br />written contract. <br />All other terms and conditions remain the same. <br />(Authorized Representative) <br />XIC 404 1007 © 2007, XL America, Inc. Page 1 of 1 <br />Includes copyrighted material of Insurance Office, Inc., with its permission. <br />