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]lie <br /> Hanover <br /> l insurance Group- <br /> AW31-1516177 1001736 <br /> I <br /> I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br /> WAIVER OF TRANSFER OF RIGHTS OF RECOVERY j <br /> AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br /> This endorsement modifies insurance provided under the following; <br /> BUSINESS AUTO COVERAGE FORD <br /> BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM <br /> GARAGE COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> TRUCKERS 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 <br /> indicated below. <br /> Named Insured: <br /> Endorsement Effective Date: <br /> SCHEDULE <br /> Names) Of Person(s) Or Organization(a): <br /> "BLANKET AS REQUIRED BY WRITTEN CONTRACT <br /> AGREEMENT OR PERMIT" <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 <br /> "accident" or the "foss" under a contract with that person or organization. <br /> i <br /> 1 <br /> I <br /> I <br /> j <br /> l <br /> 461-0500 11 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission Page 1 of 1 <br /> aossl s <br /> 0173 of 0192 <br />