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FEDERATED INSURANCE COMPANIES <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED ENDORSEMENT <br />This endorsement modifies the insurance provided under the following: <br />BUSINESSOWNERS LIABILITY COVERAGE FORM <br />SCHEDULE <br />Name of Person or Organization: <br />Orange County NC <br />PO Box 8181 <br />Hillsborough, NC 27278-2438 <br />Relationship to the Named Insured: <br />See IL-F-40-00001 <br />A.The following is added to Paragraph C. Who is <br />an Insured: <br />4.Any person or organization shown in the <br />Schedule is also an insured, but only with <br />respect to "bodily injury" or "property <br />damage" liability arising out of your ongoing <br />operations performed for that insured or <br />premises owned by or rented to you. <br />B.This insurance does not apply to "bodily injury" <br />or "property damage" liability arising out of the <br />sole negligence of the additional insured named <br />above. <br />C.The following exclusion is added to Paragraph B. <br />Exclusions: <br />This insurance does not apply to "bodily injury" <br />or "property damage" occurring after: <br />(1)All work including materials, parts or <br />equipment furnished in connection with <br />such work, on the project (other than <br />service, maintenance or repairs) to be <br />performed by or on behalf of the <br />additional insured(s) at the site of the <br />covered operations has been completed; <br />or <br />(2)That portion of "your work" out of which <br />the injury or damage arises has been put <br />to its intended use by any person or <br />organization other than another <br />contractor or subcontractor engaged in <br />performing operations for a principal as <br />a part of the same project. <br />Insured:Place of Issue: <br />Quality Cremation Inc <br />PO Box 11546 <br />Durham, NC 27703-0546 <br />Federated Service Insurance Company <br />Home Office <br />121 East Park Square <br />Owatonna, MN 55060 <br />(507) 455-5200 <br />Includes copyrighted material of Insurance Services Office, Inc. with its permission. <br />BP-F-239 (09-08)Policy Number: 9234957 Transaction Effective Date: 02/01/2025 <br /> <br /> <br />Docusign Envelope ID: BD80614F-33F3-41C3-BF14-9E03491E70DE