Orange County NC Website
DocuSign Envelope ID: C5AE60ED-3944-4BD4-888D-03C35A9C4941 <br />INTERLINE <br />POLICYNUMBER:SP869601 <br />THISENDORSEMENTCHANGESTHEPOLICY.PLEASEREADITCAREFUllY. <br />ADDITIONALINSUREDENDORSEMENT <br />GENERALLIABILITY(INCLUDINGPRODUCTSANDCOMPLETEDOPERATIONSLIABILITY)INSURANCEPOLICY <br />1.SeclionTHEINSURED,isamendedbytheadditionofthefollowing: <br />AdditionalInsured. <br />OrangeCountyGovernment <br />3. <br />DesignatedPremises,wheneverusedinthisendorsement.shallmeanthefollowing: <br />131W.MargaretLane, <br />Suite300 <br />Hillsborough,NC27278 <br />4.CoverageprovidedtoanyAddilionallnsuredasdefinedhereinshallapplysolely: <br />(b)forClaimsarisingoutoftheNamedInsured'soccupancyof,orfailuretomaintain,theDesignatedPremises,but <br />solelywithrespecttheproducts,goodsoroperationsoftheNamedInsuredandonlyifliabilityforsuchClaimis <br />determinedtobesolelythenegligenceorresponsibilityoftheNamedInsured;and <br />(c)forOccurrencesat,onoruponthatportionoftheDesignatedPremiseswhichisoccupiedtheNamedInsured. <br />EIC4372104Page1of1 <br />