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Attachment Code: D668643 Certificate ID: 20958134 <br />POLICY NUMBER: PHPK2713505-000.. COMMERCIAL AUTO <br />CA 04 44 03 10 <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 />BUSINESS AUTO COVERAGE FORM <br />BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply <br />unless modified by the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is <br />indicated below. <br />Named Insured: <br />Endorsement Effective Date: <br />SCHEDULE <br />Name(s) Of Person(s) Organization(s): <br />Any person or organization who you are required to add by written contract which is executed prior <br />to the occurrence of a loss to waive your rights of recovery, except for a loss resulting from the sole <br />negligence from that person or organization. <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 Oth- <br />ers 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 <br />prior to the "accident" or the 'loss" under a contract <br />with that person or organization. <br />CA 04 44 03 10 PAGE 1 OF 1 <br />