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DocuSign Envelope ID: 57E297CC-03C0-463C-B17A-569B0EAC735F <br /> AGENCY CUSTOMER ID: 35SMEINC <br /> LOC#: <br /> ACRD ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> BB&T Insurance Services, Inc. S&ME Inc. <br /> 3201 Spring Forest Rd. <br /> POLICY NUMBER Raleigh, NC 27616 <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br /> In the event that the Company cancels the Professional Liability policy for any statutorily permitted reason other than non-payment of <br /> premium,the Company agrees to provide thirty(30)days notice of cancellation of the Policy to any entity with Whom the NAMED INSURED <br /> agreed in a written contract or agreement would be provided with notice of cancellation of the policy. <br /> Project: Orange Co-Hillsborough PRLF(Project No.4305-17-061) <br /> Orange County, North Carolina is included as Additional Insured with respect to General Liability and Automobile Liability Coverage. Umbrella <br /> Liability is written on a Follow-Form basis over the underlying General Liability,Automobile Liability and Employers Liability policies. <br /> Professional Liability includes Contractors Pollution Legal Liability and is written on a claims made basis. Certificate holder is additional <br /> insured for Contractors Pollution Legal Liability if required by written agreement, but solely to the extent that the INSURED'S liability arises out <br /> of Contracting Services rendered by or on behalf of the NAMED INSURED. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />