Orange County NC Website
Browse       Search
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 /> Policy Number: 22 SBA VF0089 SA <br /> Named Insured and Mailing Address; 5TH WALL BUILDING DIAGNOSTICS <br /> CONSULTANTS LLC <br /> 9601 BAILYWICK RD <br /> RALEIGH NC 27615 <br /> Policy Change Effective Date: 07/30/12 Effective hour is the same as stated in the <br /> Declarations Page of the Policy. <br /> Policy Change Number: 001 <br /> Agent Name: HARTSFIELD & NASH AGENCY INC <br /> Code: 271445 <br /> POLICY CHANGES: <br /> HARTFORD CASUALTY INSURANCE COMPANY <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 /> FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: <br /> SS 12 23 06 11 <br /> PRO RATA FACTOR: 0.340 <br /> THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br /> Form SS 12 11 04 05 T Page o o 1 <br /> Process Date: 08/17/12 Policy Effective Date: 12/01/11 <br /> Policy Expiration Date: 12/01/12 <br />