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DocuSign Envelope ID: DDOCFB62- 8EDD- 4B57- ACF6- 9C98BO78AA95 <br />t4uti - ow1wrs Page 1 <br />AGENCY COPY <br />(MUTUAL) INSURANCE COMPANY <br />6101 ANACAPRI BLVD., LANSING, MI 48917 -3999 <br />AGENCY HIGH & RUBISH INSURANCE AGENCY <br />15- 0936 -00 MKT TERR 050 (919) 913-1144 <br />INSURED ORANGE COUNTY LITERACY COUNCIL INC <br />ADDRESS 200 N GREENSBORO ST STE C2 <br />CARRBORO NC 27510 -1849 <br />Policy change: Effective Date of Change MO DY YR <br />Cross out old information and write in the changes. <br />ENTITY: Corporation <br />PROPERTY COVERAGES - ALL DESCRIBED LOCATIONS <br />Special Coverage Form <br />TERRORISM - CERTIFIED ACTS <br />BUSINESS LIABILITY PROTECTION <br />COVERAGES <br />Aggregate Limit <br />(Other than Products- Completed Operations) <br />Products - Completed Operations Aggregate <br />Liability and Medical Expense <br />Medical Expense - Per Person <br />Personal Injury <br />Tenants Fire Legal - Any One Fire <br />Hired Auto & Non -Owned Auto Liability <br />TERRORISM - CERTIFIED ACTS <br />DED <br />FORMS THAT APPLY TO ALL LOCATIONS: 54510 (08 -09) <br />54961 (11 -11) BP0009 (01 -87) 54679 (06 -92) <br />54319 (07 -06) 54867 (03 -08) 54656 (08 -91) <br />64776 (01 -16) 54663 (01 -03) <br />54643 (01 -90) <br />Issued 10 -05 -2017 <br />BUSINESSOWNERS POLICY DECLARATIONS <br />Renewal Effective 11 -20 -2017 <br />POLICY NUMBER 91 -159- 372 -01 <br />Company Use 35 -57 -NC -9311 <br />Company POLICY TERM <br />Bill 12:01 a.m. 12:01 a.m. <br />to <br />11 -20 -2017 11 -20 -2018 <br />LIMITS PREMIUM <br />$2.92 <br />LIMITS PREMIUM <br />$2,000,000 $12.93 <br />11000,000 Included <br />1,000,000 Included <br />5,000 Included <br />Included Included <br />50,000 Included <br />1,000,000 31.51 <br />2.20 <br />BP0002 (01 -87) BP0006 (01 -87) <br />54709 (04 -10) 54098 (05 -07) <br />54088 (09 -09) 64728 (02 -14) <br />OCT 12 201 <br />