23-24_Auto_WOS_AZ.pdf

This document is a Commercial Auto Insurance Policy Endorsement for MedImpact Holdings, Inc., specifically a Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation), effective 04/30/2023. The endorsement applies to multiple insurance coverage forms including Auto Dealers, Business Auto, and Motor Carrier Coverage. The named entities covered include the State of Arizona, its departments, agencies, boards, commissions, universities, and its officials, agents, and employees for losses arising from work performed by or on behalf of the contractor.

The endorsement modifies the existing insurance policy by establishing a transfer of rights condition that does not apply to the listed organizations, but only to the extent that subrogation is waived prior to an incident or loss under a contract with that specific person or organization. The document is standardized with a policy number MTP300369195000 and a commercial auto code CA 04 44 10 13, indicating it is a standard insurance industry template for waiving subrogation rights in specific contractual scenarios.