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ACORD- INSURANCE BINDER OP ID Bw <br /> 12/01/99 <br /> THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS F <br /> PRODUCER <br /> [CPA/C,No,Ext: 919-941-0549 COMPANY BINDEFt/11 <br /> 919-941-0135 Penn. Nat] . Mutual Cas. Co. <br /> First Insurance Services, Inc. DATE TIME DATE EXPIRATION TIME <br /> P. 0. Box 13687 AM 12:01 AM <br /> RTP NC 27709 11/15/99 PM 07/22/00 NOON <br /> THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br /> CODE: 21-6105 SUB CODE: X PER EXPIRING POLICY#: 9000068069 <br /> A Y <br /> cusTOMER10 PENDE-2 DESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY(Including Location) <br /> INSURED Re:ELECTRIC, INC. & COUNTY OF Res Generator fit-up for Stanford Middle <br /> School, Hillsborough, NC <br /> ORANGE PURCHASING & CENTRAL SERVICES & ORANGE <br /> COUNTY SCHOOLS, AND SUB-CONTRACTORS & SUB-SUB- <br /> CONTRACTORS, ATIMA <br /> P O BOX 114 8 DURHAM NC 27703 <br /> COVERAGES LIMITS <br /> TYPE OF INSURANCE COVERAGE/FORMS DEDUCTIBLE COINS% AMOUNT <br /> PROPERTY CAUSES OF LOSS "Direct Physical Loss" 1000 N/A 46,250.00 <br /> BASIC 7 BROAD [:] SPEC subject to policy exclusion <br /> X BUILDER'S RISK and conditions. <br /> GENERAL LIABILITY EACH OCCURRENCE $XXX <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $XXX <br /> CLAIMS MADE ❑OCCUR MED EXP(Any one person) $XXX <br /> PERSONAL&ADV INJURY $XXX <br /> GENERAL AGGREGATE $XXX <br /> RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMP/OP AGG $XXX <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $XXX <br /> ANY AUTO BODILY INJURY(Per person) $XXX <br /> ALL OWNED AUTOS BODILY INJURY(Per accident) $XXX <br /> SCHEDULED AUTOS PROPERTY DAMAGE $XXX <br /> HIRED AUTOS MEDICAL PAYMENTS $XXX <br /> NON-OWNED AUTOS PERSONAL INJURY PROT $XXX <br /> UNINSURED MOTORIST $XXX <br /> AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE <br /> COLLISION: STATED AMOUNT $ <br /> OTHER THAN COL: OTHER <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $XXX <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $XXX <br /> AGGREGATE $XXX <br /> EXCESS LIABILITY EACH OCCURRENCE $XXX <br /> UMBRELLA FORM AGGREGATE $XXX <br /> OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $XXX <br /> WC STATUTORY LIMITS <br /> WORKER'S COMPENSATION E.L.EACH ACCIDENT $XXX <br /> AND <br /> EMPLOYER'S LIABILITY E.L.DISEASE-EA EMPLOYEE $XXX <br /> E.L.DISEASE-POLICY LIMIT $XXX <br /> ggPECIAL Cancellation Clause attached. FEES $ <br /> CONDITIONSI TAXES $ <br /> OTHER <br /> COVERAGES <br /> ESTIMATED TOTAL PREMIUM $ <br /> NAME&ADDRESS <br /> MORTGAGEE ADDITIONAL INSURED <br /> LOSS PAYEE <br /> LOAN# <br /> AUTHORIZED REPF.3ENTATIVE <br /> I &�J �iq— - <br /> ACORD 75-S(1/98) NOTE: IMPORTANT STATE INFORMATION ON F.EVERSE SIDE ACORD CORPORATION 1993 <br />