Orange County NC Website
CHLJBBm Liability Insurance <br />Endorsement <br />Policy Period <br />Effective Date <br />Policy Number <br />Insured <br />Name of Company <br />Date Issued <br />SEPTEMBER 27, 2023 TO SEPTEMBER 27, 2024 <br />SEPTEMBER 27, 2023 <br />71764342 EUC <br />TRANSLOC, INC <br />FEDERAL INSURANCE COMP ANY <br />SEPTEMBER 28, 2023 <br />This Endorsement applies to the following forms: <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY INSURANCE POLICY <br />Conditions <br />Transfer Or Waiver Of Rights Of Recovery Against Others <br />Liability Insurance <br />Form 80-02-2362 (Rev. 4-01) <br />Under Conditions, Transfer Or Waiver Of Rights Of Recovery Against Others, the following <br />provision is added: <br />However, we waive any right of recovery we may have against the designated person or organization <br />shown below because of payments we make for in jury or damage arising out of your ongoing <br />operations or done under a contract with that person or organization and included in the <br />products-completed operations hazard. This waiver applies to the designated person or <br />organization. <br />Designated Person Or Organization <br />PERSONS OR ORGANIZATIONS THAT YOU ARE <br />OBLIGATED, PURSUANT TO A CONTRACT OR <br />AGREEMENT, TO PROVIDE WITH SUCH WAIVER <br />AS IS AFFORDED BY THIS ENDORSEMENT. <br />Orange County, its officers, official agents, and employees <br />200 South Cameron Street <br />PO Box 8181 <br />Hillsborough, NC 27278 <br />Condition -Waiver Of Transfer Of Rights Of Recovery <br />Endorsement <br />continued <br />Page 1 <br />DocuSign Envelope ID: 00AEEDF8-E56F-4832-A7DF-FBD6EF554C6A