Orange County NC Website
DocuSign Envelope ID: 9141986F-lB82-40FD-B364-5C818EBODBD6 <br /> ("'OMMERCIAI., GENERAI�- ].,IABII,1'1')' CG20 10(Ed. 71/04) 111-,'-9665 <br /> ERIE INSURANCE GROUP <br /> ERII� <br /> POLICY N LJ M BER� 0970143,6 8 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED -1 OWNERS, LESSEES OR <br /> CONTRACTORS - <br /> SCHEDULED PERSON OR ORGANIZATION <br /> THs endor-sement modifies insurance provided under the follow ilig: <br /> COMME'ROAL GENFRAL LIABILATY COVI"RAGE PART <br /> SCHEDULE <br /> .................... ........ <br /> Name of Additional Insured Person(s)Or Org'anization(s): Location(s) of Covered Operation& <br /> Orange COUnty, North Carohna Blanket—as required by contract <br /> -——-------------—--——-------. ........ ........ ..........m _._............. <br /> lVifformation required to complete thk Scfwckde, if not:shown above, wifl be shown in the Decluations. <br />