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IBI GROUP RFCA 11/3115 AGR # PENDING REVIEWED BY: z%. . _....r EUNICE HEREDIA (PG 6 OF 8) <br />POLICY NUMBER: MAGO03760403 COMMERCIAL AUTO <br />CA 04 44 10 13 <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 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 />Named Insured: IBI GROUP <br />Endorsement Effective Date: April 30, 2015 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN A <br />WRITTEN CONTRACT OR WRITTEN AGREEMENT TO WAIVE ANY RIGHT OF <br />RECOVERY WE MAY HAVE AGAINST THE PERSON OR ORGANIZATION, <br />PROVIDED THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS <br />SUBSEQUENT TO THE EXECUTION OF THE WRITTEN CONTRACT OR <br />WRITTEN AGREEMENT, <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 10 13 © Insurance Services Office, Inc., 201 '1 Page 1 of 1 <br />