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ENDORSEMENT
ENDT. NO.
G0905
(ed 09/24/09)
WAIVER OF SUBROGATION - BLANKET
IT IS AGREED, FOR AN ADDITIONAL PREMIUM OF $__________, THAT THE TRANSFER OF
RIGHTS OF RECOVERY AGAINST OTHERS TO US (SECTION IV – COMMERCIAL GENERAL
LIABILITY CONDITIONS) IS AMENDED AS FOLLOWS:
WE WAIVE ANY RIGHT OF RECOVERY WE MAY HAVE AGAINST ANY PERSON OR
ORGANIZATION THAT QUALIFIES AS AN ADDITIONAL INSURED PURSUANT TO THE TERMS OF
ENDORSEMENT NUMBER ______ BECAUSE OF PAYMENTS WE MAKE FOR BODILY INJURY OR
PROPERTY DAMAGE ARISING OUT OF (i) YOUR WORK PERFORMED DURING THE POLICY
PERIOD UNDER AN INSURED CONTRACT WITH THAT PERSON OR ORGANIZATION, PROVIDED
THAT THE BODILY INJURY OR PROPERTY DAMAGE OCCURS SUBSEQUENT TO THE
EXECUTION OF THE INSURED CONTRACT, OR (ii) YOUR PRODUCT MANUFACTURED OR SOLD
DURING THE POLICY PERIOD UNDER AN INSURED CONTRACT WITH THAT PERSON OR
ORGANIZATION, PROVIDED THAT THE BODILY INJURY OR PROPERTY DAMAGE OCCURS
SUBSEQUENT TO THE EXECUTION OF THE INSURED CONTRACT.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
Policy Number
Insured
Effective
Countersignature of Authorized Representative
BENCHMARK INSURANCE COMPANY
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