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DocuSign Envelope ID:456CB831-89E2-409B-8715-A71C362353A4 <br /> ii <br /> klite <br /> (:(- 410.AtliMbaft <br /> 40/14P4 <br /> N 0 R T II C A R 0 I, I N A NCACC Risk Management Pools <br /> ASSOCIATION 01, COUNTY COMMISSIONERS Liability and Property <br /> NCACC LIABILITY AND PROPERTY POOL <br /> COVERAGE CONTRACT <br /> GENERAL DECLARATIONS <br /> Participant SENIOR CARE OF ORANGE COUNTY, INC. <br /> Address 105 MEADOWLAND DRIVE <br /> HILLSBOROUGH,NC 27278 <br /> Contract number LP-SE-525-16 <br /> Contract Period July 1, 2016 to July 1, 2017 <br /> Effective Time 12:01 A.M., Eastern Daylight Time <br /> Pool Sponsored by North Carolina Association of County Commissioners <br /> 215 North Dawson Street <br /> Raleigh, North Carolina 27603 <br /> Pool Adminstered by North Carolina Association of County Commissioners <br /> 215 North Dawson Street <br /> Raleigh, North Carolina 27603 <br /> Claims Administrator Sedgwick Claims Management Services, Inc. <br /> 5260 Parkway Plaza Boulevard, Suite 190 <br /> Charlotte, North Carolina 28217 <br /> NCACC RMP General Declarations Page <br /> Edition 7/1/2014 Issued <br /> 6/27/2016 <br />