Orange County NC Website
CG 20 11 (01-96) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />1. Designation of Premises (Part Leased to You): <br />500 VALLEY FORGE ROAD, HILLSBOROUGH, NC 27278 <br />2. Name of Person or Organization (Additional Insured): <br />ORANGE COUNTY, NC <br />500 VALLEY FORGE ROAD <br />HILLSBOROUGH, NC 27278 <br />3. Additional Premium: $35.00 <br />(If no entry appears above, the information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include This insurance does not apply to: <br />as an insured the person or organization shown in the <br />Schedule but only with respect to liability arising out 1. Any "occurrence" which takes place after you <br />of the ownership, maintenance or use of that part of cease to be a tenant in that premises. <br />the premises leased to you and shown in the Schedule 2. Structural alterations, new construction or demo- <br />and subject to the following additional exclusions: lition operations performed by or on behalf of the <br />person or organization shown in the Schedule. <br />Copyright, Insurance Services Office, Inc., 1994 <br />CG 20 11 (01-96) <br />ACP GLG02205447946 L7JK 72013 AGENT COPY 22 0024715 <br />