Orange County NC Website
DocuSign Envelope ID:3DAF2DFC-999B-4C15-9AAF-83B41A879CDB <br /> Item 10. Policy form PI8I8CE-0115 and Application dated mey31. 2016 are hereby attached and made a part of <br /> this Policy. Wherever in any of the forms, clauses or conditions of this insurance the word "Policy" <br /> appears, this shall be deemed to be "Certificate". <br /> Insurance is effected with certain UNDERWRITERS ATLL0YD'S. LONDON (1Q00/0) <br /> Item 11. Service of Suit: <br /> FLWA Service Corp, <br /> c/o Foley& LordnerLLP <br /> 555 California Street, Suite 1700 <br /> San Franciscc CA 94104-1520 <br /> Dated July 26, 2016 NAS INSURANCE SERVICES, LLC <br /> By: <br /> Correspondent <br /> D1818CE'0115 Page 3of3 <br />