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218201400OK4430 <br />POLICY NUMBER: AS2- 681 - 004145 -726 COMMERCIAL AUTO <br />CA 04 44 10 13 <br />THIS ENDORSEMENT CHANGESTHE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST INNERS TO US (WAIVER OF SUBROGATION) <br />This endorsement modfges insurance provided under the foilowllg: <br />x • • r• <br />With respectto coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified <br />by the endorsement <br />SCHEDULE <br />Nome(s) Of Pemon(s) Or Organizat on(s)d <br />Arty person oro.rganizatian w1thV60111 y6u have agreed h g to avalya . <br />any right of recovery prior to a loss. <br />Pr rnlum. $ INCL <br />tr onnation required to complate .this Schedule, Knot shown above, will be shown in the Declarations. <br />The Transfer Of Rights Of Peomery Against <br />Others To Us condition does not apply to the <br />person(s) or organizations) shown in the Schedule, <br />but only to the extent that subrogation i$ waived prior <br />to the "accident" or the Noss" under a contract with <br />that per. on or organization. <br />CA 04 44 10 13 @ Insurance Sorvlces Office, Inc.. X11 Page 1 of i <br />