Orange County NC Website
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Countersigned by <br />Authorized Representative <br />Form WC 00 03 13 Printed in U.S.A. <br />Process Date:06/13/22 Policy Expiration Date:07/02/23 <br />WAIVER OF OUR RIGHT TO RECOVER <br />FROM OTHERS ENDORSEMENT <br />Policy Number:22 WBC AS9N6D Endorsement Number: <br />Effective Date:07/02/22 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address:COUNTY TAX SERVICES INC <br />PO BOX 37642 <br />RALEIGH NC 27627 <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our <br />right against the person or organization named in the Schedule. <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />SCHEDULE <br />Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. <br />Endorsement is not applicable in KY, NH, NJ or for any MO construction risk <br />DocuSign Envelope ID: BA1B4ED2-6760-4C9D-9978-9FB05D3DE862