Orange County NC Website
onnunign Envelope ID:o2xeooCn-7uaF-4o7A+\sea-Cnn7sonn1eeE <br /> cNA <br /> NAMED INDIVIDUAL RETROACTIVE DATE ENDORSEMENT <br /> It is understood and agreed tha no coverage is afforded under this Policy for any claims by reason of an act or omission committed by <br /> any person listed below that occurred prior to date listed opposite such person <br /> Person Date <br /> ------ <br /> Shannon C Poole 0607/2010 <br /> Sydney JBatch 12/01/2005 <br /> All other terms and conditions of the Policy remain unchanged. <br /> This endorsement, which forms a pa� ofand is for a�ooUmerkto the Policy issued by the designated |noureru, takes effect on the <br /> ef�ctivedate of said Policy at the hour stated in said Policy and expires concurrently with said Policy unless another effective date iu <br /> shown below, <br /> By Authorized Representative <br /> (No signature is required if issued with the Policy or if it is effective on the Policy Effective Date) <br /> Policy No: 590371335 <br /> G-11OO24`���0) � <br /> 1 Endorsement Nu 2 <br /> Page Effective Date: 10/15/2016 Cnndne�a|Caaua|tyCompany � <br /> Insured Name: Batch, Poore&Williams, PC <br /> mCwA All Rights Reserved. <br />