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OCEAN BLUE ENVIRONMENTAL A- 2013 - 115 -02 REVIEWED BY ice% // EUNICE HEREDIA (PG 15 OF 16) <br />POLICY NUMBER: SISIPCA08268415 COMMERCIALAUTO <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 <br />modified by the endorsement. <br />This endorsement changes the policy effective on the Inceptlon date of the policy unless another date is Indicated <br />below. <br />Named Insured: Ocean Blue Environmental Services, Inc <br />Endorsement Effective Date: 7/1/2015 <br />SCHEDULE <br />Name(s) Of Porson(s) Or Organization(s): <br />Blanket where required by a written contract. <br />Information required to complete this Schedule if not shown above will he showlt to tite Declarations. <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., 2011 Page 1 of 1 <br />