SASSOON, DR. MAUREEN 2 -2015 - Laserfiche WebLink

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Named Insured EndarsementNumber Dr. Maureen Sassoon Policy Symbol Policy Number Policy Period Effective Rate of Endorsement ECP 07/09/2096 to 07/0112017 07/01/2016 Issued By (Name of insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete Mis endorserent Will De snown in We ueciarauUcr5 ct5 cIPP,Llir�- .v Ll� endorsement_) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products - completed operations Lazard. This waiver applies only to the person or organization shown in the Schedule above. All other terms and conditions remain the same. A3 ENV -3143 (03 -05) Includes copyrighted material of Insurance Services Office, Inc_ with its permission Page 1 of 1 ?i>-01