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�� nanvvG. <br />DocuSign Envelope ID: 5D924F8F OA84 4ECE 95C8- E82E8DA18036 Insurance Group - <br />AVENUES BUSINESSOWNERS DECLARATION <br />BUSINESSOWNERS RENEWAL DECLARATIONS <br />RENEWAL OF OD6 A005679 <br />Policy Number Policy Period <br />Coverage is Provided in the <br />From To 190282000 <br />OD6- A005679 -05 x/25/2018 06/25/2019 MASSACHUSETTS BAY INSURANCE COMPANY <br />Named Insured and Address 844-367-7899 <br />Agent <br />Agent <br />TRIANGLE UROLOGY ASSOCIATES, ASSUREDPARTNERS OF NC LLC <br />ATTN: DAVIN CL HANOVER CSC /STE 350 <br />205 FRASIER ST. 4505 FALLS OF NEUSE RD <br />DURHAM, NC 27704 RALEIGH, NC 27609 <br />Policy Period: Beginning and Ending at 12:01 a.m. Standard Time at the Location of the Described Premises. <br />Business Type: CORPORATION (SINGLE). <br />Mortgagee /Loss Payable: <br />SEE ADDITIONAL INTEREST SCHEDULE <br />Business of the Named Insured: <br />OFFICE. <br />In consideration of the premium, insurance is provided the Named Insured with hicheatspec f cs premises d w <br />Limit Of Insurance sshon, <br />Schedule below and with respect to those coverages and kinds of property <br />subject to all of the terms of this policy including f LOCATION SCHEDULE made a part hereof: ms and endorsements <br />Described Premises: <br />NO. 001 001 205 FRASIER ST., DURHAM, NC 27704 <br />NO. 002 001 10321 LUMLEY RD. # 201, RALEIGH, NC 27617 <br />NO. 003 001 101 CONNER DRIVER, SUITE 201, CHAPEL HILL, NC 27514 <br />Business Income ACTUA <br />Excluded / None / 24 hours 14B hours /72 hours <br />Business Income <br />Waltrin �Period 48 HOURS LIMITS OF INSURANCE <br />LIABILITY <br />Liability and Medical Expenses Limits of Insurance: <br />Except for Damage to Premises Rented to You, each paid tlo aiSECTION II - LIABILITY, D. LIABILITY the <br />AND MED CALnEXPENSES following coverages reduce <br />provide during the applicable annual period. Please refer <br />LIMITS OF INSURANCE, paragraph.4. of the Businessowners Coverage Form. $ 2 , 000, 000 Aggreqate. <br />1,000,000 Per Occurrence <br />Liability and Medical Ex enses Limit 10,000 Each Person <br />Medical Ex enses <br />lama a to Premises Rented to You $ 000 All Perils <br />500, <br />INSURED Payment Type: OUST SERV CTR- DIRECT BILL <br />ate Issued: 05/13/2018 ORIGINAU <br />003404 Page 1 of 2 <br />391 -1002 08 16 <br />LIMITS OF INSURANCE <br />SECTION I - PROPERTY <br />L No 002 Bldg No 001 <br />c Bldg No 001 <br />No 013 <br />Loc No 001 Bldg No 001 <br />oc <br />000 <br />Deductible Amount <br />$ 1,000 <br />$ 1,000 <br />NOT COVERED <br />NOT COVERED <br />Building Amount <br />$ 2,825,207 <br />Valuation <br />RC <br />540,750 <br />129, $ 780 <br />$ 189,000 <br />RC <br />Business Personal <br />Property Valuation <br />$ RC <br />RC <br />L BUSINESS LOSS SUSTAINED NOT EXCEEDING 12 CONSECUTIVE MONTH <br />Business Income ACTUA <br />Excluded / None / 24 hours 14B hours /72 hours <br />Business Income <br />Waltrin �Period 48 HOURS LIMITS OF INSURANCE <br />LIABILITY <br />Liability and Medical Expenses Limits of Insurance: <br />Except for Damage to Premises Rented to You, each paid tlo aiSECTION II - LIABILITY, D. LIABILITY the <br />AND MED CALnEXPENSES following coverages reduce <br />provide during the applicable annual period. Please refer <br />LIMITS OF INSURANCE, paragraph.4. of the Businessowners Coverage Form. $ 2 , 000, 000 Aggreqate. <br />1,000,000 Per Occurrence <br />Liability and Medical Ex enses Limit 10,000 Each Person <br />Medical Ex enses <br />lama a to Premises Rented to You $ 000 All Perils <br />500, <br />INSURED Payment Type: OUST SERV CTR- DIRECT BILL <br />ate Issued: 05/13/2018 ORIGINAU <br />003404 Page 1 of 2 <br />391 -1002 08 16 <br />