Orange County NC Website
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY <br /> POLICY CHANGES <br /> Policy Change <br /> Number 08 <br /> POLICY NUMBER POLICY CHANGES COMPANY <br /> AXGL05101976-13 EFFECTIVE AXIS Insurance Company <br /> 12/26/13 <br /> NAMED INSURED AUTHORIZED REPRESENTATIVE <br /> Disabled Sports USA, Inc. American Specialty Insurance& Risk <br /> Services, Inc. dba A.S I R.S I Insurance <br /> Agency,American Specialty Insurance& <br /> Risk Services Agency, and A S Insurance& <br /> Risk Services Agency <br /> COVERAGE PARTS AFFECTED <br /> Commercial General Liability <br /> CHANGES <br /> As of the effective date hereof, it is hereby understood and agreed that Form AXIS 1104 SEXUAL ABUSE OR <br /> MOLESTATION COVERAGE, Limits of Insurance is amended to read as follows, but only with respects to the <br /> Bridge II Sports Chapter <br /> Each Occurrence. $1,000,000 <br /> Aggregate $1,000,000 <br /> Additional premium due $50 <br /> All other terms and conditions remain unchanged <br /> Issued by- KS February 11, 2014 <br /> Authorized R tpresentative Signature <br /> IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Page 1 of 1 <br /> Copyright, ISO Commercial Risk Services, Inc., 1983 <br />