Orange County NC Website
Browse       Search
4. <br /> POLICY NUMBER INSURED NAME AND ADDRESS <br /> P 2093358583 BUXTON COMPANY <br /> 2651 S. POLARIS DRIVE <br /> FORT WORTH, TX 76137 <br /> POLICY CHANGES <br /> BLANKET CG 2010 (G-300693-A) <br /> This Change Endorsement changes the Policy. Please read it carefully. <br /> This Change Endorsement is a part of your Policy and takes effect on the <br /> effective date of your Policy, unless another effective date is shown. <br /> POLICY NUMBER:2093358583 COMMERCIAL GENERAL LIABILITY <br /> CG 20 10 07 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br /> CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) Or Organization(s) : <br /> Any person or organization you have agreed in a written contract or <br /> written agreement to add as an additional insured on this Coverage <br /> Part, provided the written contract or written agreement was executed <br /> prior to: <br /> a. The "bodily injury" or "property damage"; or <br /> b. The offense that caused the "personal and advertising injury <br /> for which the additional insured seeks coverage under this Coverage <br /> Part. The written contract or written agreement must pertain to your <br /> ongoing operations for the additional insured, and must specifically <br /> require additional insured status according to the provisions of <br /> CG 20 10. <br /> But notwithstanding the above, no person or organization is an <br /> additional insured for professional architectural or engineering <br /> services provided at or for the Location(s) of Covered Operations. <br /> Page 1 of 2 <br /> Chairman of the Board <br /> •.= <br /> gWOrvw014.1cr 1/4-1974::41.4:1 <br /> e48‘—)14----tary <br /> G-56015-B (ED. 11/91) <br />