Orange County NC Website
DocuSign Envelope ID: 79C656D4-C9CC-4E83-86DC-2586ACE20052 <br /> EXTENSION OF DECLARATIONS <br /> Policy No. SP 1557590 Effective Date_ 1010212014 <br /> 12:01 AM STANDARD TIME <br /> FORMS AND ENDORSEMENTS <br /> The following forms apply to the Specified Professions Professional Liability Errors And Omissions coverage <br /> part <br /> Endt# Revised Description of Endorsements <br /> CONSA (01108) Specified Professions Professional Liability Application <br /> PROF-001 06101 Absolute Pollution Exclusion-Professional <br /> PROF-002 06101 Mold, Fungus, Bacteria,Virus And Organic Pathogen Exclusion- <br /> Professional <br /> SP 07109 Specified Professions Professional Liability Coverage Form <br /> SP 210 07/09 Retroactive Date Endorsement <br /> SP 211 07109 Professional Services Exclusion Endorsement <br /> SP NC 07109 North Carolina State Amendatory Endorsement <br /> SP Jacket 09110 Specified Professions Professional Liabii'ty Policy Jacket <br /> EOD(01195) All other terms and condttionsremain unchanged_ Page 1 of 1 <br />