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POLICY NUMBER: 01�0041-351 <br /> WAIVER OF TRANSFER OF RIGHTS OF <br /> RECOVERY AGAINST OTHERS TO UI S � <br /> (WAIVER OF SUBROGATION <br /> i <br /> i <br /> 3}} <br /> i <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> I <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 provislons of the Coverage Form apply <br /> unless modified by the endorsement. <br /> This endorsement changes the policy effective an the Inception date of the policy unless another date is <br /> indicated below. <br /> Named Insured, Human Options Inc <br /> Endorsement Effective Date; 09/23/2024 <br /> SCHEDULE <br /> Namo(s)f�FPer�on(s)Or organlxation(s): � -- <br /> Blanket <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) <br /> or organizatlon(s) shown in the Schedule, but only to the extent that subrogation Is waived prior to the <br /> "accident"or the"loss"a rider a contract with that person or organization. <br /> Q Insurance services Offla®,inc.,2oti CA 04 44 14 13 <br /> Page 1 of 1 <br />