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POLICY NUMBER: 54309497 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: HCI Systems, Inc. <br /> Endorsement Effective Date: 03/02/25 <br /> SCHEDULE <br /> Name(s) Of Person(s) Or Organization(s): <br /> WHERE REQUIRED BY WRITTEN CONTRACT. <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 <br /> To Us condition does not apply to the person(s) or <br /> organization(s) shown in the Schedule, but only to <br /> the extent that subrogation is waived prior to the <br /> "accident" or the 'loss" under a contract with that <br /> person or organization. <br /> CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 <br />