Orange County NC Website
DocuSign Envelope ID:26CB3394-9EF5-42C1-8EAB-432A9B415AA4 <br /> M 4330 <br /> RENEWAL DECLARATIONS(CONTINUED) <br /> Office Policy for ANALYTICAL CONSULTANTS INC <br /> Policy Number 93-13F-D971-7 <br /> CMP-4703 Utility Interruption Loss I ncm <br /> CMP-4705 Loss of Income& Extra Expnse <br /> FD-6007 Inland Marine Attach Dec <br /> * New Form Attached <br /> This policy is issued by the State Farm Fire and Casualty Company. <br /> Participating Policy <br /> You are entitled to participate In a distribution of the earnings of the company as determined by our Board of Directors In <br /> accordance with the Company's Articles of Incorporation,as amended. <br /> In Witness Whereof,the State Farm Fire and Casually Company has caused this policy to be signed by its President and <br /> Secretary at Bloomington,Illinois. <br /> *11.4.t.4,m.1'444.0.1' 66-vu ` %akS),. <br /> Secretary President <br /> Prepared <br /> AUG 07 2015 ®Copyright,State Farm Mutual Automobile Insurance Company,2008 <br /> CMP-4000 Includes copyrighted material of Insurance Services Office,Inc..with its permission. <br /> 004333 Continued on Next Page Page 6 of 7 <br /> 1 <br />