Orange County NC Website
Browse       Search
DECLARATIONS <br /> DocuSign Envelope ID: 5BF9183D-3BD5-4FD7-80DE-F437539D2E9F <br /> A ERIE INSURANCE EXCHANGE <br /> Erie ULTRAFLEX POLICY <br /> Insurance <br /> loo En 16530ce Place RENEWAL CERTIFICATE - COINSURANCE CONTRACT <br /> Erie,PA 16530 <br /> Agent ITEM 2. Policy Period Policy Number <br /> 111010 THE BALLARD AGY INC 08/22/16 TO 08/22/17 Q44 2250193 NC <br /> ITEM 1. Named Insured and Address ITEM 3. Other Interest <br /> THE HISTORICAL FOUNDATION OF <br /> & ENDT #1 <br /> 201 N CHURTON ST <br /> HILLSBOROUGH NC 27278-2535 <br /> POLICY PERIOD BEGINS AND ENDS AT 12 .01 A . M . STANDARD TIME AT THE STATED <br /> ADDRESS OF THE NAMED INSURED . <br /> THE INSURANCE APPLIES TO THOSE PREMISES DESCRIBED AS PER THE ATTACHED <br /> SUPPLEMENTAL DECLARATIONS . THIS IS SUBJECT TO ALL APPLICABLE TERMS OF THE <br /> POLICY AND ATTACHED FORMS AND ENDORSEMENTS <br /> DEDUCTIBLE (PROPERTY PROTECTION ONLY) - $ 200 . <br /> COVERAGES : DEPOSIT <br /> PROPERTY PROTECTION - AS PER THE ATTACHED SUPPLEMENTAL DECLARATIONS $PREMIUM <br /> 1 . BUILDINGS <br /> 2 . BUSINESS PERSONAL PROPERTY AND PERSONAL PROPERTY OF OTHERS $ INCL <br /> 3 . INCOME PROTECTION $ <br /> 4 . GLASS AND LETTERING $ <br /> 5 . SIGNS, LIGHTS AND CLOCKS <br /> LIMITS OF INSURANCE $ INCL <br /> EACH OCCURRENCE LIMIT $ 1, 000, 000 <br /> DAMAGE TO PREMISES <br /> RENTED TO YOU LIMIT $ 1, 000, 000 ANY ONE PREMISES <br /> MEDICAL EXPENSE LIMIT $ 5, 000 ANY ONE PERSON <br /> PERSONAL & ADVERTISING INJURY LIMIT $ 1,000, 000 ANY ONE PERSON OR ORGANIZATION <br /> GENERAL AGGREGATE LIMIT $ 2,000, 000 <br /> PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT $ 2, 000,000 <br /> OPTIONAL COVERAGES SEE NEXT PAGE <br /> TOTAL DEPOSIT PREMIUM - - - - - $ 525 . <br /> APPLICABLE FORMS - SEE SCHEDULE OF FORMS <br /> See Reverse Side C1T 06/15/16 <br />