Orange County NC Website
NORTH CAROLINA UNINSURED <br /> MOTORISTS COVERAGE <br /> POLICY NUMBER: S 2002862 COMMERCIAL AUTO <br /> CA 21 16 0410 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> For a covered "auto" licensed or garaged in, or "garage operations" conducted in, North Carolina, this endorsement <br /> modifies insurance provided underthe following: <br /> BUSINESS AUTO COVERAGE FORM <br /> GARAGE COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> TRUCKERS COVERAGE FORM <br /> With respect to coverage provided by this endorsement, the provisions of the coverage form apply unless modified by the <br /> endorsement. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. <br /> Named Insured: <br /> Endorsement Effective Date: <br /> SCHEDULE <br /> Limit Of Insurance: $1,000,000 Each "Accident" <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> The definition of"uninsured motor vehicle" in this endorsement applies in its entirety unless an"X" is entered below: <br /> ❑ If an "X"is entered in this box, Paragraph b. of the definition of"uninsured motor vehicle"does not apply. <br /> A. Coverage a. The limits of any applicable liability bonds <br /> 1. We will pay all sums the "insured" is legally entitled or policies have been exhausted by pay- <br /> to recover as compensatory damages from the ment of judgments or settlements; or <br /> owner or driver of: b. A tentative settlement has been made <br /> a. An "uninsured motor vehicle" because of"bod- between an "insured" and the insurer of a <br /> ily injury" sustained by the "insured" and vehicle described in Paragraph b. of the <br /> caused by an"accident"; and definition of"uninsured motor vehicle" and <br /> we: <br /> b. An "uninsured motor vehicle", as defined in (1) Have been given prompt written <br /> Paragraphs a. and c. of the definition of"unin- <br /> sured notice of such tentative settlement; <br /> motor vehicle", because of "property and <br /> damage"caused by an "accident". <br /> The owner's or driver's liability for these damages (2) Advance payment to the "insured" in <br /> must result from the ownership, maintenance or an amount equal to the tentative set- <br /> use of the "uninsured motor vehicle". tlement within 30 days after receipt of <br /> notification. <br /> 2. With respect to damages resulting from an "acci- 3. Any judgment for damages arising out of a <br /> dent" with a vehicle described in Paragraph b. of "suit" brought without damages arising <br /> a co of the <br /> the definition of 'uninsured motor vehicle", we will g sending copy <br /> pay under this coverage only if Paragraph a. or b. summons, complaint or other process against <br /> below applies: an uninsured motorist is not binding on us. <br /> Copyright, Insurance Services Office, Inc., 2009 CA 21 16 04 10 <br /> Page 1 of 4 <br /> INSURED'S COPY <br />