Orange County NC Website
DocuSign Envelope ID:7C6D8FA9-77D8-4065-9CD5-3E2679971A07 <br /> ERIE INSURANCE <br /> COMMERCIAL GENERAL LIABILITY <br /> CG 20 10(Ed.4/13)OF-9665 <br /> Named Insured: Atlas Engineering Inc. <br /> POLICY NUMBER:Q421990199 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - <br /> SCHEDULED PERSON OR ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> Or Organization(s) Location(s)Of Covered Operations <br /> Orange County NC <br /> PO Box 8181 <br /> 200 South Cameron Street <br /> Hillsborough NC 27278 <br /> Information required to complete this Schedule,if not shown above,will be shown in the Declarations. <br /> A. Section II—Who Is An Insured is amended to include as 1. All work, including materials, parts or equipment <br /> an additional insured the person(s) or organization(s) furnished in connection with such work, on the project <br /> shown in the Schedule, but only with respect to liability (other than service, maintenance or repairs) to be <br /> for "bodily injury", "property damage" or "personal and performed by or on behalf of the additional insured(s) <br /> advertising injury"caused,in whole or in part,by: at the location of the covered operations has been <br /> 1. Your acts or omissions;or completed;or <br /> 2. That portion of"your work" out of which the injury or <br /> 2. The acts or omissions of those acting on your behalf; damage arises has been put to its intended use by any <br /> in the performance of your ongoing operations for the person or organization other than another contractor or <br /> additional insured(s)at the location(s)designated above. subcontractor engaged in performing operations for a <br /> However: principal as a part of the same project. <br /> C. With respect to the insurance afforded to these additional <br /> 1. The insurance afforded to such additional insured only insureds,the following is added to Section III—Limits Of <br /> applies to the extent permitted by law;and Insurance• <br /> 2. If coverage provided to the additional insured is If coverage provided to the additional insured is required <br /> required by a contract or agreement, the insurance by a contract or agreement,the most we will pay on behalf <br /> afforded to such additional insured will not be broader of the additional insured is the amount of insurance: <br /> than that which you are required by the contract or <br /> agreement to provide for such additional insured. 1. Required by the contract or agreement;or <br /> B. With respect to the insurance afforded to these additional 2. Available under the applicable Limits of Insurance <br /> insureds,the following additional exclusions apply: shown in the Declarations; <br /> This insurance does not apply to "bodily injury" or whichever is less. <br /> "property damage" occurring after: This endorsement shall not increase the applicable Limits <br /> of Insurance shown in the Declarations. <br /> ©Insurance Services Office,Inc.,2012 <br /> 1 <br />