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SEDARU FKA ID MODELING, INC.
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SEDARU FKA ID MODELING, INC.
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Last modified
6/12/2024 12:10:30 PM
Creation date
4/17/2024 2:52:52 PM
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Contracts
Company Name
SEDARU FKA ID MODELING, INC.
Contract #
A-2024-034
Agency
Public Works
Council Approval Date
3/19/2024
Expiration Date
12/31/2024
Insurance Exp Date
9/30/2024
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WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS <br />Named Insured Veralto Corporation <br />Endorsement Number <br />6 <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Effective Oahe of Endorsement <br />ISA <br />IH10699629 <br />09/30/2023 To 09/30/2024 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />Insert the policy number. The remainder of the lmbnTm tion Is to be oompleted only when this endorsement Is Issued subsequent to the preparation of the policy. <br />This Endorsement modifies Insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIERS COVERAGE FORM <br />AUTO DEALERS COVERAGE FORM <br />We waive any right of recovery we may have against the person or organization shown in the Schedule below because of <br />payments we make for injury or damage arising out of the use of a covered auto. The waiver applies only to the person or <br />organization shown in the SCHEDULE. <br />SCHEDULE <br />Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided <br />such contract was executed prior to the date of loss. <br />Authorized Representative <br />orz,N�F Risk ManagementDivisian <br />r' REVIEWED & APPROVED BY. <br />x <br />® Risk Management Specialist <br />DA 13115a (004) <br />
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