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TIBURON - 2015
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TIBURON - 2015
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Last modified
6/9/2017 2:32:47 PM
Creation date
5/5/2016 10:29:59 AM
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Contracts
Company Name
TIBURON
Contract #
A-2015-253
Agency
POLICE
Council Approval Date
11/17/2015
Expiration Date
11/30/2016
Insurance Exp Date
5/1/2017
Destruction Year
2021
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POUCY NUMBER� 6024533059 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 />11-.; !611111 as] in <br />110101:44EW-11:41 0TAILA11MR01KINIQ <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: PALERP10 TT HOLDINGS, INC. <br />Endorsement Effective Date: 05/01/2016 <br />Name(s) Of Person(s) Or Organ ization(s): <br />ANY PERSON OR ORGANIZATION FOR, WHOM <br />OR WHICH YOU ARE REQUIRED BY WRITTEN <br />CONTRACT OR AGREEMENT TO OBTAIN THIS <br />WAIVER FROM US. YOU MUST AGREE TO THAT <br />REQUIREMENT PRIOR. TO LOSS, <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 Others <br />To Us condition does not apply to the person(s) or <br />organization(s) 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 Copyright, insurance Services Office, Inc., 2011 Page 1 of 1 <br />
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