Orange County NC Website
<br /> <br /> <br /> <br />ADDITIONAL INSURED - <br />DESIGNATED PERSONS OR ORGANIZATIONS <br /> <br /> <br /> <br /> <br /> <br /> <br />Insert the policy number. The remainder of the information Is to be completed only when this endorsement is issued subsequent to the preparation of the policy. <br /> <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br /> <br />BUSINESS AUTO COVERAGE FORM <br />AUTO DEALERS COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />EXCESS BUSINESS AUTO COVERAGE FORM <br /> <br />Additional lnsured(s): Any person or organization whom you have agreed to include as an additional <br />insured under a written contract, provided such contract was executed prior to the date of <br />loss. <br /> <br /> <br />A. For a covered "auto ," Who Is Insured is amended to include as an "insured," the persons or organizations <br />named in this endorsement. However , these persons or organizations are an "insured" only for "bodily <br />injury" or "property damage" resulting from acts or omissions of: <br /> <br /> <br />1. You. <br />2. Any of your "employees" or agents. <br />3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. <br />B. The persons or organizations named in this endorsement are not liable for payment of your premium. <br /> <br /> <br /> <br />Authorized Representative <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DA-9U74c (03/16) Page 1 of 1 <br />Named Insured: WILLSCOT MOBILE MINI HOLDINGS CORP Endorsement Number <br /> <br />Policy SymbolI Policy Number I Policy Period <br />ISA H25313756 11/01/2020 TO 11/01/2021 <br />Effective Date of Endorsement <br />11/01/2020 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />H2554576A 11-01-2021 TO 11-01-2022 11-01-2021 <br />DocuSign Envelope ID: F8EBDA2B-E1C9-4C03-80ED-E37FE36A5811