Orange County NC Website
Browse       Search
DocuSign Envelope ID: C9AF5D7E-E8F1-4FC2-8917-EA301453E701 <br /> THE <br /> MAIN Policy Number: MPU1 371 P <br /> SI`REEr <br /> AMERICA <br /> GROUP ADDITIONAL INSURED SCHEDULE <br /> MAIN STREET AMERICA ASSURANCE COMPANY <br /> Named Insured ELOY ALVAREZ Effective Date: 04-02-2015 <br /> Agent Name NORTHEAST AGENCIES INC CL SC Agent No. 314026 <br /> Endorsement Number:004 Endorsement Effective Date: 05-19-15 <br /> Form <br /> Number Form Title <br /> BP 04 52 ADDITIONAL INSURED - STATE OR POLITICAL <br /> SUBDIVISIONS - PERMITS <br /> ORANGE COUNTY <br /> PC BOX 8181 <br /> HILLSBOROUGH, NC 2-72'78-8181 <br /> BPN!S Al 12 07 <br /> INSURW COPY <br />