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Waiver Of Transfer Of Rights Of Recovery Against Others To Its <br />Policy No, Hf, Dato of Pol. Exp, Darr, Prof Poo I FAT,�[)a�eof End Ag,,ency No VidRt�ftl <br />]. Prorn. lll PI'M <br />RAP 9483141-16, '1 05/007 0/01118 051hN/ <br />U 7 A N/A I ' I <br />This endorsement is issued by the company named in the Declarations. It Cirlanges the policy on the effective date listed above <br />at the hour stated in the Declarations. <br />THIS ENDORSEMENT CRANGES ] I HE POLICY. PLEASE READ IT CAREFULLY. <br />Natned Insured: ANIECI USA HOLDINGS, INC. <br />Ad(Iress (ine.luding LEP code): 1979 Lakeside Pkwy, Tucker, GA 3(7884-59:35 <br />This endorsement modifies insurance provided Linder the: <br />Bwsines.s Auto ('overage Forni, <br />Truckers Coverage Fonn <br />Garage ('overage Form <br />Motor Carrier Coverage Form <br />SCHEDULE <br />Name of Perion or Organization: <br />We waive any right of recovery we may haute against the designated person or organization shown in the schedule because of <br />payments we make for injury or damage caused by an 'accidenfor "lossresulting maintenance, or use of a <br />J ' " t, from the ownership, <br />covered "auto" fi)r which a Waiver of Subrogation is required in conJunction with work perfonned by you for the designated <br />person or organization. The waiver applies only to the designated person or organization shown in the schedule. <br />Countersigned: <br />Authorized Representative <br />Date: <br />U -CA -320-13 CW (4/94) <br />Pa (Tc I of I <br />