Orange County NC Website
DocuSign Envelope ID:30CFBA21-DC65-423A-A674-7D24A692C6ED <br /> WC 99 06 02 <br /> EXTENSION OF INFORMATION PAGE <br /> Worker's Compensation and <br /> Employer's Liability Policy <br /> LOCATION SCHEDULE <br /> Policy Number: MWC0106102-01 <br /> Issued to: Senior Care of Orange County Inc <br /> Effective Date: 02/08/2017 to 02/08/2018 <br /> Coverage Provided By: Markel Insurance Company <br /> Carrier Code 22616 <br /> Other workplaces not shown above: <br /> Location FEIN PHONE CODE ENTITY TYPE <br /> 1 105 Meadowlands Dr 9192452017 8052 Corporation <br /> Hillsborough,NC 27278-8500 <br /> ©1991 National Council on Compensation Insurance. 3 of 24 <br />