Orange County NC Website
DocuSign Envelope ID:08F5590C-AFE2-44BA-B873-AC73B2E3Al2B ' <br /> 41t~ <br /> H l� HfSCOX INSURANCE COMPANY INC. (A Stack Company) <br /> 104 South MiOhigan Avenue,SAO 600 Chlcn90 I111r1ofs 60693 <br /> IN WJTN�U WHEREOF,tlta lnsurar Indicated sbora has rauso lhk PaZcy to be'V"d W15 PreefdOW SO sffcrotary,W thfe Poflcy+hP,'I ngl bs effeciiva unb;g vllQ <br /> dghbd by thb tnxuroes duly eulharized rePmenfaiNo. <br /> President <br /> � /�4f <br /> Secretary <br /> 911Q` <br /> Authorized Representative <br /> Hiscox Inc. <br /> 367 Muln Slrsaf <br /> AflnDA NY W" <br /> DPL 0004 CW(07140) Page 2 <br />