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POLICY NUMBER: GMI-0434-03 COMMERCIAL AUTO <br /> CA 04 4410 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 inception date of the policy unless another date is indicated <br /> below. <br /> Named Insured: R P W Services Inc. <br /> Endorsement Effective Date: 7/10/2025 <br /> SCHEDULE <br /> Name(s) Of Person(s) Or Organization(s): <br /> Blanket where required by written agreement executed 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 <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 04441013 © Insurance Services Office, Inc., 2011 Page 1 of 1 <br />