Orange County NC Website
DocuSign Envelope ID: 30809FAD -A9DE- 4881 - 9740 - 361075204924 <br />StateFarm <br />• <br />• • Telephone: (866) 737 -6877 <br />State Farm Facsimile: (847) 572 -6262 <br />Specialty Products <br />BINDER OF INSURANCE Page: 1 <br />PER THE TERMS OF THIS DOCUMENT — COVERAGE IS IN FORCE AND PREMIUM IS BEING EARNED <br />1. Delivered To: Mary Wilson <br />MARY WILSON STATE FARM AGENCY <br />9660 Falls Of Neuse Rd Ste 165 <br />Raleigh, NC 27615 -2473 <br />Producer Code #: 331885 <br />Producer Facsimile: (919) 676 -2327 <br />Coverage is bound pursuant to the following terms and conditions: <br />2. Named Insured: ROCCHETTI AND ASSOCIATES INC <br />10204 Hellberg Land <br />Raleigh, NC 27614 <br />Client Code #: 279897 <br />3. Binder Period: This binder expires automatically on the date stated unless extended in writing by State Farm <br />Specialty Products or unless superceded by the Policy or Renewal Declarations. <br />Binder Effective Date: October 4, 2017 Binder Expiration Date: Until replaced by Policy <br />12:01 A.M. standard time at the address of the Named Insured as shown above. <br />4. Policy Provisions: The Policy or Renewal Declarations will be issued to incorporate the following provisions, <br />provided all conditions of this binder have been met. <br />Policy #: PS0000005803700 <br />Policy Period <br />Insurer: <br />Program: <br />Coverage Type: <br />Retroactive date <br />From: October 4, 2017 To: October 4, 2018 <br />12:01 A.M. standard time at the address of the Named Insured as shown above. <br />State Farm Fire and Casualty Company <br />Miscellaneous Errors & Omissions Professional Liability Insurance <br />Claims — Made Defense Costs: Defense Costs Within Limits <br />Policy Inception <br />Limit of Liability <br />Each Wrongful Act <br />$1,000,000 <br />Total Limit of Liability <br />$1,000,000 <br />5. Premium Payment & Terms: (Invoice to Follow Under Separate Cover) <br />Premium Payment Plan: Annually <br />Policy Period Premium: <br />Total Premium: <br />222 South Riverside Plaza, Suite 2250, Chicago, IL 60606 -5808 <br />Retention <br />Each Wrongful Act <br />$2,500 <br />