Orange County NC Website
FILINGPOLICYNO.: C-4LRL-109339-CYBER-2023 <br />ENDT.NO.:21 <br />ADDITIONAL INSURED ENDORSEMENT WITH SCHEDULE <br />FormNumber SP153781118 <br />EffectiveDateofEndorsement March17,2023 <br />NamedInsured NorthCarolinaCoalitionToEndHomelessnessInc <br />FilingPolicyNumber C-4LRL-109339-CYBER-2023 <br />Issuedby <br />(NameofInsuranceCompany) <br />ArchSpecialtyInsuranceCompany, <br />AllianzUnderwritersInsuranceCompany, <br />AscotSpecialtyInsuranceCompany, <br />FortegraSpecialtyInsuranceCompany <br />THISENDORSEMENTCHANGESTHEPOLICY.PLEASEREADITCAREFULLY. <br />Thisendorsementmodifiesinsuranceprovidedunderthefollowing: <br />COALITIONCYBERPOLICY <br />InconsiderationofthepremiumchargedforthisPolicy,itisherebyunderstoodandagreedthat: <br />1.The definition of ”Insured,you, or your” under SECTION IX, DEFINITIONS is deleted and replaced with the <br />following: <br />Insured,you,oryour means: <br />1.the namedinsured; <br />2.a subsidiary; <br />3.seniorexecutives; <br />4.employees;and <br />5.person(s) or organization(s) in the attached schedule, <br />solely for such person’s or organization’s liability arising <br />outofthe namedinsured’s or subsidiary’s acts. <br />Schedule <br />1.OrangeCountyPartnershiptoEndHomelessness. <br />(eachhereafterascheduledadditionalinsuredentity) <br />2.SECTION III, EXCLUSIONS – WHAT IS NOT COVERED, Paragraph J. INSURED VERSUS INSURED, is deleted and <br />replacedwiththefollowing: <br />SP153781118 1of 2 <br />DocuSign Envelope ID: 88B9E21B-0F94-463F-8912-8C7669E89A14