Orange County NC Website
ADDITIONAL INSURED ENDORSEMENT <br />Specified Member: <br />Policy Number: <br />Endorsement Effective Date: <br />It is hereby agreed and understood that the person(s) or entity(ies) listed below is/are included as <br />Additional Insured(s) under the combined Professional/General Liability policy number referenced above, <br />but only with respect to claims or damages arising solely out of professional services rendered by the <br />Specified Member: <br />ALL OTHER TERMS AND CONDITIONS REMAIN UN CHANGED. <br />Date: <br />BY: <br />_______________________________________ <br /> Authorized Representative <br /> Alliant Insurance Services, Inc. <br />9/25/2018 <br />Orange County North Carolina Parks and Rec <br />302 West Tryon Street <br />Hillsborough , NC 27278 <br />Maire Alexander <br />9/25/2018 <br />YOGAI482552-1 <br />DocuSign Envelope ID: 4993A165-43B6-407A-96C7-698025B25464