Orange County NC Website
. , <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGE <br />This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated <br />below: <br />~ POIICy NUIYIbe~: 14 SBM ZF3455 DV COPY <br />~ <br />M <br />O <br />Named Insured and Mailing Address; NELLO~ s ITALY, LLC <br />M <br />r'~i PO BOX 80441 <br />N RALEIGH NC 27623 <br />~ <br />w Policy Change Effective Date: 02/24/12 Effective hour is the same as stated in the <br />N Declarations Page of the Policy. <br />w <br />~ <br />o Policy Change Number: ool <br />0 <br />° Agent Name: Txor~s RUTHERFOORD INC/PHS <br />~ <br />Code: 731978 <br />~ <br />= POLICY CHANGES: <br />- SENTINEL INSUR.ANCE COMPANY, LIMITED <br />ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING <br />~ STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK <br />ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS. <br />= THIS IS NOT A BILL. <br />NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE <br />LIABILITY AND MEDICAL EXPENSES ARE REVISED <br />~ LIABILITY AND MEDICAL EXPENSES LIMIT IS CHANGED FROM <br />~ $1,000,000 EACH OCCURRENCE TO $2,000,000 EACH OCCURRENCE <br />° PERSONAL AND ADVERTISING INJURY LIMIT IS CHANGED FROM <br />~ $1,000,000 TO $2,000,000 <br />PRO RATA FACTOR: 0.986 <br />~ THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br />Form SS 12 11 04 05 T <br />Process Date: 0 2/ 2 ~/ i 2 <br />Page 001 (CONTINUED ON NEXT PAGE) <br />Policy Effective Date: 0 2/ i 8/ 12 <br />Policy Expiration Date: 0 2/ 1 s/ 13 <br />UW COPY <br />