Orange County NC Website
Browse       Search
DocurSign Envelope ID:273B24CC-D965-44D0-A589-37C63CDFC6B6 <br /> PREMIER BUSINESSOWNERS POLICY <br /> irk <br /> PREMIER OFFICE <br /> PROPERTY DECLARATIONS Policy Period: <br /> Policy Number: ACP BPOK2273711151 From 11-04-15 To 11-0415 <br /> Description of Premises Number: 002 Building Number: 001 Construction: FRAME <br /> Premises Address 400 MILLSTONE DR STE 100 <br /> HILLSBOROUGH NC 27273-9007 <br /> Occupancy T Classification: PHYSICIANS & SURGEONS <br /> Described as: MEDICAL CLINIC <br /> WE PROVIDE INSURANCE ONLY FOR THOSE COVERAGES INDICATED BY A LIMIT- OR BY "INCLUDED". <br /> The Property Coverage provided at this premises is subject to a $ 500 Deductible, unless otherwise stated. <br /> COVERAGES LIMITS OF INSURANCE <br /> Building - NOT PROVIDED <br /> Business Personal Property - Replacement cost $153,600 <br /> ADDITIONAL COVERAGES -the Coverage Form Includes other Additional Coverages not shown. <br /> Business Income-ALS- 12 Months- NO Hour Waiting Period-60 Day Ordinary Payroll Limit INCLUDED <br /> Extra Expense - Actual Loss Sustained (ALS) - 12 Months - NOHour Waiting Period INCLUDED <br /> Equipment Breakdown INCLUDED <br /> Automatic Increase in Insurance - Building NOT PROVIDED <br /> Automatic Increase in Insurance - Business Personal Property 2®9% <br /> Back Up of Sewer and Drain Water (limit shown per Building; subject to $25;000 policy aggregate) <br /> $5,000 <br /> OPTIONAL INCREASED LIMITS Included Limit Additional Limit <br /> Account Receivable $25,000 $25,000 <br /> Valuable Papers and Records (At the Described Premises) $25,000 $25,000 <br /> Forgery and Alteration $10,000 $10,000 <br /> Money and Securities - Inside the Premises $10,000 $10,000 <br /> Outside the Premises (Limited) *10,000 $10,000 <br /> Outdoor Signs *2,500 $21500 <br /> Outdoor Trees, Shrubs, Plants and Lawns *10,000 $10,000 <br /> Business Personal Property Away From Premises $15,000 $15,000 <br /> Business Personal Property Away From Premises - Transit 515,000 $15,000 <br /> Electronic Data 510,000 $10,000 <br /> Interruption of Computer Operations $10,000 $10,000 <br /> Building Property of Others $10,000 $10,000 <br /> OPTIONAL COVERAGES ® Other frequently purchased coverage options. <br /> Employee Dishonesty $5,000 Policy Occurrence INCLUDED <br /> Ordinance or Law - 1 - Loss to Undamaged Portion NOT PROVIDED <br /> 2 - Demolition Cost and Broadened Increased Cost of Construction NOT PROVIDED <br /> Ordinance or Law Broadened NOT PROVIDED <br /> PROTECTIVE SAFEGUARDS <br /> This premise has Protective Safeguards identified by symbols below. insurance for Fire or Burglary and Robbery <br /> at this premise will be excluded if you do not notify us immediately if any of these safeguards are impaired. <br /> See PB 04 30 for a description of each symbol. APPLICABLE SYMBOLS: P-2/ P®73 <br /> PB 81 01 ( 4-11) NATIONWIDE PROPERTY & CASUALTY INS CO Page 1 of 2 <br /> DIRECT BILL MACH MAC INSURED COPY UID 63 22 33006 <br />