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DocuSign Envelope ID: DD0CFB62- 8EDD- 4B57- ACF6- 9C98BO78AA95 <br />Page 2 <br />AUTO - OWNERS (MUTUAL) INS. CO. AGENCY COPY <br />AGENCY HIGH & RUBISH INSURANCE AGENCY <br />15- 0936 -00 MKT TERR 050 <br />INSURED ORANGE COUNTY LITERACY COUNCIL INC <br />54643 (01 -90) <br />Issued 10 -05 -2017 <br />Company POLICY NUMBER 91 -159- 372 -01 <br />Bill Company Use 35 -57 -NC -9311 <br />Term 11 -20 -2017 to 11 -20 -2018 <br />LOCATION 001 <br />LOCATION: 200 N GREENSBORO ST STE C2 CARRBORO NC 27510 -1833 <br />COVERAGES <br />DED <br />LIMITS <br />PREMIUM <br />Addl Insured - Managers or Lessors <br />of Premises <br />Included <br />$21.88 <br />Addl Insured - Controlling Interest <br />Included <br />21.88 <br />Businessowners Addl Insured Endorsement <br />Included <br />21.88 <br />TERRORISM - CERTIFIED ACTS <br />INCLUDED <br />SEE FORM(S) 59350 (01 -15), 54309 <br />(07 -08), <br />59390 (01 -15) <br />ADDITIONAL FORMS FOR THIS LOCATION: <br />BP0007 <br />(01 -90) <br />IL0162 <br />(04 -90) 54094 (03 -07) <br />54238 (12 -01) 54244 (05 -07) <br />54309 <br />(07 -08) <br />54605 <br />(11 -88) 54661 (08 -91) <br />59350 (01-15) 64747 (04 -15) <br />LOC 001 BLDG 0001 <br />COVERAGES <br />DED <br />LIMITS <br />PREMIUM <br />Business Personal Property - REPL. <br />COST <br />$500 <br />$28,930 <br />$111.11 <br />Adjusted Value Factor 0.0080 <br />Business Income And Extra Expense <br />12 Months <br />Included <br />Limitation of Coverage for Fungi, <br />Mold, <br />See Form <br />Included <br />Dry Rot, Wet Rot and Bacteria <br />Equipment Breakdown <br />500 <br />See Form <br />3.78 <br />ADDITIONAL FORMS FOR THIS BUILDING: <br />54841 <br />(10 -09) <br />54701 <br />(08 -94) 54703 (08 -94) <br />54619 (08 -94) BP1203 (06 -89) <br />SECURED INTERESTED PARTIES: See Attached Schedule <br />