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t <br /> //�� <br /> PAGE 1 <br /> e/luto--Owners WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY <br /> INSURANCE COMPANY ATTACHED TO AND FORMING PART OF <br /> 6101 ANACAPRI BLVD. , LANSING, MI 48917-3999 <br /> INFORMATION PAGE -RENEWAL AGREEMENT RENEWAL EFF. 06-17-2013 <br /> AGENCY HIGH & RUBISH INSURANCE AGENCY <br /> 15-0936-00 PO BOX 3040 (919) 913-1144 POLICY NUMBER <br /> CHAPEL HILL NC 27515 MKT TERR 050 041715 35022549 <br /> ITEM 1 <br /> INSURED ORANGE COUNTY LITERACY COUNCIL INC ITEM 2 POLICY PERIOD <br /> COMPANY FROM 12:01 A.M. 06-17-2013 <br /> ADDRESS 200 N GREENSBORO ST STE C2 BILL TO 12:01 A.M. 06-17-2014 <br /> CARRBORO NC 27510-1833 AT THE INSURED'S <br /> MAILING ADDRESS <br /> FED NUM 001 STATE NC <br /> FED ID 561433933 <br /> ENTITY CORPORATION <br /> NUMBER OF EMPLOYEES 1 <br /> ORANGE COUNTY LITERACY COUNCIL INC <br /> 200 N GREENSBORO ST STE C2 <br /> CARRBORO NC 27510-1833 <br /> ISSUED 5-10-2013 <br /> 2762 (4-84) 1460 <br />