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1 <br /> 331 <br /> l <br /> POLICY NUMBER: BAP2041776-12 COMMERCIAL AUTO i <br /> CA04441013 <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 1 <br /> i r i <br /> 3 <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless i <br /> 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. I <br /> Named Insured: <br /> i <br /> Endorsement Effective Date: ' <br /> r <br /> i <br /> SCHEDULE <br /> Nama(s)Of Persons Or Or anization(s): i <br /> Any Principal wherein such waiver has been included before loss as part of a contractual undertaking by the '.• ;. <br /> Named Insured ' <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 Others To Us condition does not apply to the person(s) or { <br /> organization(s)shown In the Schedule, but only to the extent that subrogation is waived prior to the 'accident'or <br /> the "loss" under a contract with that person or organization. <br /> i <br /> i <br /> i <br /> f ' <br /> I <br /> r <br /> } 3 <br /> € i <br /> ' l <br /> I <br /> I ' <br /> r � 4 <br /> j <br /> � 3 <br /> 1 <br /> i <br /> 1 � <br /> i <br /> CA 04 44 10 13 o Insurance Services Office, Inc.,2011 Page 1 of 1 <br /> , <br /> E <br />