Orange County NC Website
CLASSIFICATION CODE <br />NO. <br />PREMIUM <br />BASE <br />RATE ADVANCE PREMIUM <br />A - Area <br />B - Payroll <br />C - Gross Sales <br />D - Units <br />E - Other <br />Products / <br />Completed <br />Operations <br />All Other Products / <br />Completed <br />Operations <br />All Other <br />OWNER, LESSEE, CONTRACTOR <br />ADDITIONAL INSUREDS -29916 <br />OWNER, LESSEE, CONTRACTOR <br />ADDITIONAL INSUREDS -29919 <br />OWNER, LESSEE, CONTRACTOR <br />ADDITIONAL INSUREDS -29920 <br />OWNER, LESSEE, CONTRACTOR <br />ADDITIONAL INSUREDS -29940 <br />OWNER, LESSEE, CONTRACTOR <br />The General Liability Coverage Part is subject to an <br />annual minimum premium. <br />TOTAL ANNUAL PREMIUM <br />FORMS AND / OR ENDORSEMENTS APPLICABLE TO COMMERCIAL GENERAL LIABILITY COVERAGE PART: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORMCG0001 04/13 <br />LOUISIANA CHANGES - LEGAL ACTION AGAINST USCG0118 12/04 <br />LOUISIANA CHANGES - INSURING AGREEMENTCG0125 03/03 <br />LOUISIANA CHANGES - PREMIUM AUDIT CONDITIONCG2672 03/02 <br />LOUISIANA CHANGES - TRANSFER OF RIGHTS OF RECOVERY AGAINST <br />OTHERS TO US CONDITION <br />CG2684 12/04 <br />LIMITED EXCLUSION - ENGINEERS, ARCHITECTS OR SURVEYORS <br />PROFESSIONAL LIABILITY EXCLUSION <br />IA450C 11/87 <br />TEXAS CHANGESCG0103 06/06 <br />ARKANSAS CHANGESCG0142 07/11 <br />ELECTRONIC DATA LIABILITYCG0437 05/14 <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED <br />PERSON OR ORGANIZATION <br />CG2010 12/19 <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED <br />OPERATIONS <br />CG2037 12/19 <br />COMMUNICABLE DISEASE EXCLUSIONCG2132 05/09 <br />EMPLOYMENT - RELATED PRACTICES EXCLUSIONCG2147 12/07 <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US <br />(WAIVER OF SUBROGATION) <br />CG2404 12/19 <br />WAIVER OF GOVERNMENTAL IMMUNITYCG2414 04/13 <br />DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMITCG2503 05/09 <br />DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMITCG2504 05/09 <br />MONTANA CHANGES - MEDICAL PAYMENTSCG2661 10/01 <br />CONTRACTORS' COMMERCIAL GENERAL LIABILITY BROADENED ENDORSEMENTGA233 06/23 <br />EXCLUSION - ASBESTOSGA3064 09/20 <br />EXCLUSION - CYBER LIABILITYGA3074 06/23 <br />EXCLUSION - EXTERIOR INSULATION AND FINISH SYSTEMS ("EIFS") AND <br />DIRECT-APPLIED EXTERIOR FINISH SYSTEMS ("DEFS") - BROAD FORM <br />WITH SPECIFIED EXCEPTIONS <br />GA369 09/17 <br />FUNGI OR BACTERIA EXCLUSIONGA382 03/02 <br />PRIMARY/NONCONTRIBUTORY - OTHER INSURANCE CONDITION SCHEDULED <br />PERSON OR ORGANIZATION <br />GA4094 09/20 <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - (FORM B) <br />- CG 20 10 11 85 <br />GA4113 05/20 <br />ARKANSAS CHANGES - MULTI-YEAR POLICIESGA4164AR 02/02 <br />VIRGINIA CHANGES - COMMERCIAL GENERAL LIABILITYGA4256VA 09/20 <br />WASHINGTON CHANGESGA4260WA 10/09 <br />NEW JERSEY CHANGES – LOSS INFORMATIONGA4448NJ 02/15 <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - CG 20 10 <br />07 04 - SCHEDULED PERSON OR ORGANIZATION <br />GA4518 05/20 <br />GA 532 07 08 Page ofENP 021 99 91 4 5 <br />Docusign Envelope ID: 6A9D5D34-5CDF-4B61-99A9-F61CBCEDBF5E