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7,,' ' 02 0,q . limn= . . .................................,„„,.............--, <br /> RANGE COUNTY HILLSBOROUG1,N.C. • PcI.I' , UMBER <br /> 65 <br /> no■ / <br /> 3P22 65 SO <br /> F' EPFEGTIVC Oari; <br /> MEArIOAERIY <br /> , LN 1i/1/84 1211/82 to 12/1/85 l'e COBB & AS. ., 'E'L RI N' <br /> NSUpw+wcE Cq�rn� g Complete the above saaces if this is not poll when isseed <br /> • <br /> 1 12/12/84 ksw <br /> Business Protector Policy . <br /> CHANGE ENDORSEMENT <br /> IC is agreed drat: <br /> (a) The policy is amended as follows: <br /> • <br /> Additional Applicable Fprmrs): ADDING: <br /> Yes C--Form No.(s): <br /> No !M ORANGE COUNTY BOARD OF EDUCATION AS ADDITIONAL <br /> INSURZD AS RESPECTS THE EIGHT MINIS COURTS AT ORANGE HIGH <br /> SCHOOL I.F-ASED TO ORANGE COUNTY, AS THEIR INTEREST MAY APPEAR. <br /> NO PREMIUM YECCESSAR'Y. <br /> • <br /> (b) With respect to chose coverages and kinds of p re � p p for which a specific limit of liabiii <br /> liability shall be changed :a read as stated in the <br /> Limits of Liability columns herein. Such'slimic are ni lieu of the Limitxyof <br /> Liability stated in die policy and not in addition thereto. <br /> { <br /> SECTION I - PROPERTY COVERAGE <br /> ca a Loa. Idg. LIMITS OF LIABILITY <br /> Descrip. PR .MI N <br /> thin <br /> i o. No. Previous Limit New Limit <br /> II[ Old Premium New Premiun! <br /> 5 MGR S <br /> s 5 Ir■12■■r■re■" ■1r <br /> IS s INEMIUMINIMEIBEIMMIll <br /> SECTION II - LIABILITY COVERAGE <br /> • PREMIUMS <br /> Coverage Limits of Lability Old Premium 1 New Premium Additional <br /> fc! Liabili S each Oct. I S Return <br /> I A-: _ to <br /> PREMIUM RECAPITULATION TOTAL S <br /> Due at Endorsement Effective Date: J Return Premium Additional Premium' I <br /> S 5 <br /> I <br /> Premium adjustment if Premium is payable in annual installments. <br /> Oates Due Ori:tool Installments 11111EMII <br /> .. ______MIMMIIIIIIIIMIEN ..111_111.1111111.1111111181.01111111111111111.11111 <br /> Decrease Revised Installments <br /> NOMMIIIIMMIIIIIIIIIIIIIMMINNIMIMMININILminwmmilmoommi <br /> Total Premium to <br /> Policy Expiration <br /> • <br /> MISIIINImmeirmessr <br />