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Business Auto Policy <br /> WAIVERCNA <br /> 'OF TRANSFER OF RIGHT ° RECQWRY 'CT#„ "y � <br /> ' AGAINST OTHERS TO US (WAIVER OF SUB...®,0 - t, , ` _ _.. <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 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: LANDAU ASSOCIATES, INC. <br /> Endorsement Effective Date: 12/31/2020 <br /> SCHEDULE <br /> Name(s) Of Person(s) Or Organization(s): <br /> ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT <br /> OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR <br /> TO LOSS. <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 /> organizations) shown in the Schedule, but only to the extent that subrogation is waived prior to the " accident" <br /> or the "loss" under a contract with that person or organization. <br /> FormPolicy No:BUA 7011944631 <br /> E4 44 10 13 Policy Effective Date: 12/31/21 <br /> Endorsement <br /> rssee menntt Effective Date: Endorsement Expiration Date: <br /> Policy Page: 45 of 147 <br /> Endorsement No: 3;Page: 1 of 1 <br /> Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago,IL 60606 <br /> ---' ®Copyright Insurance Services Office,Inc., 2011 <br />