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INSURANCE BINDER <br />. ~ACORD ~ <br />~, ,®, <br />THIS BINDERISA TEMPORARYINSURANCE CONTRACT, SUBJECTTOTHE CONDt?)ONS SHOWN ON THE REVERSESIDEOF THIS FORM. <br />A<iENCY COWPANY BINDER# <br />Darfey-Hover-Fawdea Travelers H08030703508 <br />3741 Fe~soa Drive DATE EFFECi1VE .r~NE EXRRATION <br />1Caleigi, NC 27609-7324 /06/? <br />008 01 % <br />12 AM OZ/18/2009 $ 72:01 AM <br /> 06 <br />x : <br /> pM NOON <br />PHONE E 819)790-6415 p C ~,~, 019)700-6422 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br />COLE: FB597 SUBCOOE: PI <br />LICV x <br />PER <br />E <br />X <br />RING PO <br />At7ENCY 519 g <br />O <br />~ <br />a <br />~ <br />°ESCwvn i:ou°Piy Aa~iaal Serviec~ ~ac>T li i~~l <br />INSUREb <br />ilders Fisk - 1601 BrLa>.ks Fd., Chapel Hill <br />Clancy d TLcys Coastractie>. Ceapaiy <br />PO Eez 27808 <br />Faleigi~, NC 27611 <br />rnvcoer_cc LIMITS <br />TYPEOFINSURANCE COVERAGEIFORMS DEDUCTIBLE COINSX AINOI.lDfi <br />s'R~PERTY CAUSES OF LOSS <br />BASIC ~ BROAD ®SPEC ilder8 Fisk - Lla~d Marie Fern 1, 7, 354, <br /> <br />GENERALWIBILIiY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY AMAGE TO $ <br /> CLAIMS MADE ~ OCCUR MED EXP An one person $ <br /> PERSONAL 8 ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> RETRO DATE FOR CLAIMS MADE: PRODUCTS -COMP/OP AGG <br />AUTDNIOBA.ELU1BiLiTY COMBINED SINGLE LIMIT $ <br /> ANY AUTO BODI Y IN URY Per person) $ <br /> ALL OWNED AUTOS BODILY INJURY Per accident i <br /> SCHEDULED AUTOS PROPERTY DAMAGE $ <br /> HIRED AUTOS MEDICAL PAYMENTS $ <br /> NON-OWNED AUTOS PERSONAL INJURY PROT <br /> UNINSURED TORIST $ <br /> <br />AUTOPHYS~ALDAMAt~ DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE <br /> COLLISION: TAT D $ <br /> <br />~VAg~y A NLY - <br /> gryy gUTp TH R THAN A O ONLY: <br /> H <br /> <br />EXCESSLUIB-LITY <br /> UMBRELLA FORM <br /> <br /> <br />lN <br />R1~RSCOMf+ENSATON <br />O <br />AND <br />EI#PLOVErrSUABIUTr <br />- <br /> <br />Naae»t Iasared: Clancy 4 Tbeys Coastractiea Ce and Ali Bab and <br />o~°~' Bab-S.r Ca.tractrs and Oraaae Coaaty, NC <br />covERADEs <br /> MORTGAGEE ADDITIONAL INSURED <br /> <br /> LOAN # <br /> AUTHORt2EDREPRESENTATIVE P ~4.X YJL1~~~ <br />Patty Drew...oski/PATTY <br />ACORD76(2004/09) NOTE:IMPORTANTSTATEINFORMATIONONREVERSESIDE C~4CORDCORPORATION1993-004 <br />