Orange County NC Website
POLiCY'NUMBCR; <br />TEiI5 ENf3QRSEMENT CHANCES THE PQLlC~(. <br />~~~~~~~~~~ ~~~~~~~ <br />This endorsemeht mociifies insurance provid~d under the following; <br />SUSINEBS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS CQVERAGE FORM <br />VVifih respect to coverage provjci~d by this endorsement, the pravisions of ~he Coverage Farm apply unless mad- <br />ified by this endorserr~ent <br />This endorsern~nt identifies person(s) ar arganlzati~n{s} who are "insuredsu unc{er tfie V1lho )s qn Insured provi- <br />sion of #he Couerage Form. This endqrsern2nt does not alter ~overage provided in the Coverage ~ort~, <br />This end~rsement changes th~ policy effiective on ih~ inception date of ti~e policy unfess another date is indicated <br />belaw. <br />Endorsement EfFective: <br />Narned (nsure~: Brown Brothers Rlurnbing <br />~ount~rsigned By: <br />SCH~p1J~8 <br />Nam~ of Person(s) or ~rganization(s}: <br />Any or A!I Persor~(s} or Organizatit~h(s} as required.by writteNexecuted contract, far jrabs in khe state of North <br />Carolina <br />~If no entry appears above, inforrrtation required to complete this endors~rr~enf wiEl be shown in ~he Declarations <br />or above Schedule as apptiGable to the endarsement.} <br />Each person or organization incllcated above is an "insured" for Li~bififiy Caverage, but ohly to the e~ttent that <br />person or organization qualifies as an "insured" under the Who Js An lnsured provision contained in SECTION li <br />of fhe Cvverage Form, <br />CC3MNfERCtAL AUTO <br />CA2at80797 <br />~l.EASE ~EAD fT G~REF~L~Y. <br />CA 20 48 O7 37 CQpycight, ;Insurance Seivices O~ce, Inc., 1996 <br />Page 1 of 1 ^ <br />