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DocuSign Envelope ID:456CB831-89E2-409B-8715-A71C362353A4 <br /> 04* r ritity# <br /> .1:fk 4 w• <br /> NoRT W CAROLINA NCACC Risk Management Pools <br /> ASSOCIATION OF COUNTY COMMISSIONERS Liability and Property <br /> SECTION III <br /> BUSINESS AUTOMOBILE COVERAGE <br /> CONTRACT DECLARATIONS <br /> Participant SENIOR CARE OF ORANGE COUNTY, INC. <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 /> SCHEDULE OF COVERAGES AND COVERED AUTOMOBILES <br /> COVERAGE COVERED AUTOMOBILES LIMIT (per accident) <br /> Automobile Liability Any Covered Automobile $2,000,000 <br /> Out of State No-Fault Any Covered Automobile State Law Minimum <br /> Physical Damage coverage: <br /> Comprehensive and Collision Automobiles shown on schedule Actual Cash Value of Vehicle <br /> of vehicles to include Automobile unless otherwise indicated <br /> Physical Damage coverage <br /> Comprehensive and Collision Fire Trucks, Ambulances and other $0 <br /> Specialized Vehicles where a <br /> Replacment Cost value is shown <br /> on the Schedule of Vehicles <br /> DEDUCTIBLES <br /> -Automobile Liability $0 <br /> Out of State No-Fault $1,000 <br /> Comprehensive and Collision $1,000 <br /> NCACC RMP Business Automobile Declarations Page Issued <br /> Edition 7/1/2016 6/27/2016 <br />