Orange County NC Website
DocuSign Envelope ID:8A012539-E9FD-4FOB-956E-39B8B9E60F51 <br /> POLICY NUMBER: 37CSEQUO950 COMMERCIAL GENERAL <br /> LIABILITY <br /> CG 20 37 07 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS <br /> COMPLETED OPERATIONS <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name of Person or Organization: <br /> ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED, THROUGH <br /> WRITTEN CONTRACT,AGREEMENT OR PERMIT,EXECUTED PRIOR TO THE LOSS, <br /> TO PROVIDE ADDITIONAL INSURED COVERAGE FOR COMPLETED OPERATIONS. <br /> Location And Description of Completed Operations: <br /> ANY LOCATION WHERE YOU HAVE AGREED, THROUGH WRITTEN CONTRACT, <br /> AGREEMENT OR PERMIT,EXECUTED PRIOR TO THE LOSS, TO PROVIDE <br /> ADDITIONAL INSURED COVERAGE FOR COMPLETED OPERATIONS. <br /> Information required to complete this Schedule, if not shown above will be shown in the <br /> Declarations. <br /> Section H-Who Is An Insured is amended to include as an additional insured the person(s) or <br /> organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or <br /> "property damage" caused, in whole or in part, by "your work" at the location designated and <br /> described in the schedule of this endorsement performed for that additional insured and included <br /> in the "products-completed operations hazard". <br /> CG 20 37 07 04 <br /> Miscellaneous Attachment:M5509 <br /> Certificate ID: 10895149 <br />