Orange County NC Website
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />MS16540 (07/14)©Chubb. 2016. All rights reserved.Page 1 of 1 <br />Named Insured Res-care, Inc. DBA Brightspring Health Services Endorsement Number <br />25 <br />Policy Symbol <br />XSL <br />Policy Number <br />G47305482 <br />Policy Period <br />07/01/2022 TO 07/01/2023 <br />Effective Date of Endorsement <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: <br />EXCESS COMMERCIAL GENERAL LIABILITY and PROFESSIONAL LIABILITY POLICY <br />SCHEDULE <br />Name of Person or Organization: <br />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 <br />date of loss. <br />WHO IS AN INSURED (Section II) is amended to include as an additional insured the <br />person(s) or organization(s) shown in the Schedule but only with respect to the <br />liability arising out of your operations or premises owned or rented by you. <br />DocuSign Envelope ID: 05AE0BF1-7F33-40F9-942A-74F6CD86FEE3