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DocuSign Envelope ID:OCB447B6-557A-44BE-A43B-987EO3ADAE3A <br /> Agency Code 15-0936-00 Policy Number 91-159 •372-01 <br /> 54703 (8-94) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - MANAGERS OR LESSORS <br /> OF PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> BUSiNESSOWNERS POLICY <br /> SCHEDULE* <br /> Designation of Premises (Part Leased to You): <br /> 200 N GREENSBORO ST STE C2 <br /> Name of Person or Organization (Additional Insured): <br /> CARR MILL MALL LIMITED PARTNERSHIP <br /> P0 BOX 673 <br /> CARRBORO, NC 27510 <br /> Additional Premium: <br /> A. The following is added to Paragraph C. WHO IS AN INSURED in the Businessowners Liability Coverage Form: <br /> 4. The person or organization shown in the Schedule is also an insured, but only with respect to liability aris- <br /> ing out of the ownership, maintenance or use of that part of the premises leased to you and shown in the <br /> Schedule. <br /> B. The following exclusions are added: <br /> This insurance does not apply to: <br /> 1. Any "occurrence" that takes place after you cease to be a tenant in the premises described in the Sched- <br /> ule, <br /> ,2. Structural alterations, new construction or demolition operations performed by or for the person or organi- <br /> zation designated in the Schedule. <br /> The limits of insurance for the additional insured are those specified in the written contract or agreement between <br /> the insured and the person or organization named above, not to exceed the limits provided in this policy. These <br /> limits are inclusive of and not in addition: to the limits of insurance shown in the Declarations. <br /> Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declara- <br /> tions. <br /> Includes copyrighted material of Insurance Services Office, Inc., with its permission <br /> Copyright, Insurance Services Office, Inc., 1984, 1985 <br />