Orange County NC Website
Browse       Search
DocuSign Envelope ID:897E46E3-FA01-48C0-AD59-05BF8E64A105 <br /> BUSINESS AUTO 80518 <br /> DECLARATIONS <br /> NATIONWIDE INSURANCE ',CO OF AMERICA <br /> ONE NATIONWIDE PLAZA <br /> COLUMBUS, '',OH 43215-2220 <br /> Policy Number: ACP BAFB 2264894216 <br /> Item One <br /> Policy Period From 05/07/2017 To 05/07/2018 12:01 AM Standard Time at the mailing address below I <br /> Named Insured: GONZALEZ PAINTERS & CONTRACTORS INC <br /> Mailing Address: 4301 BENNETT MEMORIAL RD <br /> DURHAM, NC 27705-2305 <br /> Agency Name: All About Insurance 32 80518-022 000 35 <br /> Agency Address: CHAPEL HILL NC 27514-6110 (919)933-4000 <br /> Form of Business CORPORATION + <br /> In return for the payment of the premium, and subject to the terms of this policy, we agree with you to ovide the <br /> insurance stated in this policy. <br /> Item Two Schedule of Coverages and Covered Autos <br /> This policy provides only those coverages where a charge is shown in the premium column below. Each of these <br /> coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a <br /> particular coverage by the entry of one or more of the symbols from the COVERED AUTOS section of the Business <br /> Auto or Motor Carrier Coverage Form next to the name of the coverage. <br /> Coverage Covered Autos Limit and Deductible-the most we Premium <br /> will pay for any one accident or loss <br /> LIABILITY 7 See CA9927 3,$54.00 <br /> LIABILITY PROPERTY DAMAGE 7 See CA9927 3,374.00 <br /> MEDICAL PAYMENTS 7 See State Schedule 1,306.00 <br /> UNINSURED MOTORISTS 7 See State Schedule 92.00 <br /> - BODILY INJURY <br /> UNINSURED/UNDERINSURED MOTORISTS No Coverage <br /> - BODILY INJURY <br /> UNINSURED MOTORISTS 7 See State Schedule <br /> - PROPERTY DAMAGE <br /> Estimated Basic Premium $ 8,626.00 <br /> Estimated Assessments and Surcharges $ <br /> Estimated Total Premium $ 8,626.00 <br /> Estimated Total Commission: $ 1 1,293.90 <br /> PVDECPI (09-13) 00 <br /> DIRECT BILL EAH067 L734 2017067 AGENT COPY ACP BAF82264894216 981501132 35 0008576 <br />