Orange County NC Website
<br /> <br /> <br />NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS <br /> <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 />Insert the policy number. The remainder of the information 1s 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 />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />AUTO DEALERS COVERAGE FORM <br /> <br /> <br />Schedule <br /> <br />Organization <br />Any additional insured with whom you have agreed to provide such non- <br />contributory insurance, pursuant to and as required under a written contract <br />executed prior to the date of loss. <br />Additional Insured Endorsement <br />DA 9U74c (03/16) <br /> <br /> <br />(If no information is listed in, the schedule shall read: "All persons or entities added as additional insureds <br />through an endorsement with the term "Additional Insured" in the title) <br /> <br /> <br />For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement <br />attached to this policy, the following is added to the other Insurance Condition under General Conditions: <br /> <br />If other insurance is available to an insured we cover under any of the endorsements listed or described <br />above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss <br />on a primary basis and we will not seek contribution from the other insurance available to the Additional <br />Insured. <br /> <br /> <br /> <br />Authorized Representative <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DA-21886b (06/14) Page 1 of 1 <br />H2554576A 11-01-2021 TO 11-01-2022 11-01-2021 <br />DocuSign Envelope ID: F8EBDA2B-E1C9-4C03-80ED-E37FE36A5811