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POLICY NUMBER: 459-44-77 COMMERCIAL AUTO <br />EFFECTIVE DATE: 10/03/2022 CA 04 44 10 13 <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 <br />indicated below. <br />Named Insured: ROADSAFE TRAFFIC SYSTEMS, INC. <br />Endorsement Effective Date: 10/03/2022 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />ONLY THOSE PERSONS OR ORGANIZATIONS FOR WHOM YOU ARE REQUIRED TO WAIVE YOUR <br />RIGHTS OF RECOVERY UNDER THE TERMS OF A WRITTEN CONTRACT. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I <br />CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of2 0 <br />