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POLICY NUMBER: ADM675389-00 COMMERCIAL AUTO <br />CA04441013 <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: RCA INVESTMENTS INC DBA LONG BEACH BMW MOTORCYCLES <br />Endorsement Effective Date: 05/01/2023 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s <br />CITY OF SANTA ANA RISK MANAGEMENT DIVISION <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 />CA04441013 <br />Risk MmaganadDMslan <br />Rtvimm 6 APPRwm Sr <br />°3,IiDlltl' <br />®' <br />A� A� <br />RMk Management speaAm <br />© Insurance Services Office, Inc., 2011 lop <br />Wolters Kluwer Financial Services I Uniform Fo"STM <br />