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u Q-t7/' PAGE 2 <br /> wners WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY <br /> INSURANCE COMPANY 16144 <br /> 6101 ANACAPRI BLVD. , LANSING, MI 48917-3999 <br /> INFORMATION PAGE -RENEWAL AGREEMENT RENEWAL EFF. 06-17-2015 <br /> AGENCY HIGH 8 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. 06-17-2015 <br /> ADDRESS 200 N GREENSBORO ST STE C2 BILL TO 12:01 A.M. 06-17-2016 <br /> CARRBORO NC 27510-1849 AT THE INSURED'S <br /> MAILING ADDRESS <br /> COUNTY 068 <br /> THE PAID IN FULL DISCOUNT DOES NOT APPLY TO FIXED EXPENSE FEES, STATUTORY CHARGES OR <br /> MINIMUM PREMIUMS. <br /> THE PAID IN FULL DISCOUNT IS BASED ON FAVORABLE LOSS EXPERIENCE FOR THE COLLECTIVE GROUP <br /> OF POLICYHOLDERS WHO CHOOSE TO PAY THEIR PREMIUM IN FULL DIRECTLY TO THE COMPANY. <br /> YOUR POLICY QUALIFIES FOR THE PAID IN FULL DISCOUNT IF YOU CHOOSE TO PAY YOUR PREMIUM IN <br /> FULL. YOUR PAID IN FULL DISCOUNT MAY CHANGE AS A RESULT OF POLICY CHANGES. THESE CHANGES <br /> WILL BE REFLECTED IN A FUTURE INVOICE. <br /> TOTAL ESTIMATED ANNUAL PREMIUM 705 <br /> PAID IN FULL DISCOUNT 32- <br /> TOTAL POLICY PREMIUM IF PAID IN FULL 673 <br /> MINIMUM PREMIUM $306 NORTH CAROLINA <br /> AUDIT IS - ANNUAL <br /> ENDORSEMENTS: <br /> 27011 (WC000308 ) 27043 (WC320301C) 27279 (WC000419 ) 27317 (WC0004228) 27322 (WC000421D) <br /> 27392 27497 27506 27942 (W0000414 ) 27990 (WC000404 } <br /> YOU MAY VIEW YOUR POLICY ONLINE AT WWW.AUTO-OWNERS.COM . <br /> TO ENROLL, USE THE POLICY NUMBER 35022549 AND PERSONAL <br /> ID CODE 78A 2N8 G3T. <br /> ISSUED 5-07-2015 <br /> 27777 (10-88)(WC000001A) 1229 <br />