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POLICY NUMBER: 01-0041-351 <br /> WAIVER OF TRANSFER OF RIGHTS OF <br /> RECOVERY AGAINST OTHERS TO US <br /> (WAIVER OF SUBROGATION) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <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 <br /> unless 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. <br /> Named Insured: Human Options Inc <br /> Endorsement Effective Date: 09/23/2025 <br /> SCHEDULE <br /> Name(s) Of Person(s) Or Organization(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 organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the <br /> "accident" or the "loss" under a contract with that person or organization. <br /> ©Insurance Services Office,Inc.,2011 CA 04 44 10 13 <br /> Page 1 of 1 <br />