Orange County NC Website
Browse       Search
DocuSign Envelope ID:7CF6OB58-F95B-4FFA-9EO3-OFA429EC47E7 <br /> THIS FORM APPLIES IN STATES WHICH USE: CA 00 01 (10-13), CA 00 20 (10-13) <br /> IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> SCHEDULE <br /> Name of Person(s) or Organization(s): <br /> Orange County <br /> With respect to COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured is changed with the <br /> addition of the following: <br /> Each person or organization shown in the Schedule for whom you are doing work is an "insured". But <br /> only for "bodily injury" or "property damage" that results from the ownership, maintenance or use of a <br /> covered "auto" by: <br /> 1. You; <br /> 2. an "employee" of yours; or <br /> 3. anyone who drives a covered "auto" with your permission or with the permission of one of your <br /> "employees". <br /> However, the insurance afforded to the person or organization shown in the Schedule shall not exceed <br /> the scope of coverage and/or limits of this policy. Not withstanding the foregoing sentence, in no event <br /> shall the insurance provided by this policy exceed the scope of coverage and/or limits required by the <br /> contract or agreement. <br /> PCA 001 10 13 <br /> MWTB 314124 Rentokil North America,Inc. 1010112018-1010112019 <br />