Orange County NC Website
<br />14-02-13664 (05/2008) rev. Page 1 <br />ENDORSEMENT/RIDER <br /> <br /><COVSECT> <br /> <br />Effective date of <br />this endorsement/rider: <TRXEFFDATE> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /><CARRNAME> <br /> <br />Endorsement/Rider No. <EN> <br /> <br />To be attached to and <br />form a part of Policy No. <POLICYNO> <br /> <br />Issued to: <ACCTNAME> <br />__________________________________________________________________________________________ <br />___ <br /> <br />WHISTLEBLOWER ENDORSEMENT <br /> <br />In consideration of the premium charged, it is agreed that solely for the purposes of paragraph (i) of <br />Exclusion 5(c) of this coverage section, the phrase “active assistance or participation of, or solicitation by <br />any Executive” shall not include any activity protected under an applicable federal, state, local or foreign <br />law that provides protection similar to 18 U.S.C 1514A(a) (“whistleblower” protection provided under <br />Sarbanes-Oxley Act of 2002)). <br /> <br />The title and any headings in this endorsement/rider are solely for convenience and form no part of the <br />terms and conditions of coverage. <br /> <br />All other terms, conditions and limitations of this Policy shall remain unchanged. <br /> <br /> <br /> <br /> <br /> <br /><ENDSIG> <br /> <br />Authorized Representative <br />DocuSign Envelope ID: 010D91E2-5C66-4610-B0AF-F96D7E61B6C5