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DocuSign Envelope ID: 8FFCF3D9- 3AF5 -4C83- 9829- AC9D4975107C DLARATLONS <br />Erie !/34- ERIE INSURANCE EXCHANGE <br />lnsuranc4 ULTRAFLEN POLICY <br />:tir-.EA ,war��ca RENEWAL CERTIFICATE - COINSURANCE CONTRACT <br />F-- &k �A u�x <br />Agent <br />331010 THE RAL LAND AGENCY <br />ITEM 1. Named Insured and Address <br />THE HISTORICAL FOUNUTION OF <br />$ ENDT #1 <br />201 N CHURTON 5T <br />HILLSOOROUGH NC 27278-2535 <br />ITEM 2. Policy Period Pa.] icy Number <br />08122Y17 TO 09/22113 Q44 .2250193 NC <br />ITEM 3- Other Interest <br />POLICY PERIOD BEGIhS AND ENDS AT 12.01 A,M, STANDARD TIME AT THE STATED <br />ADDRESS OF THE NAMED I NSU R L D . <br />THE INSURANCE ,APPLIES TO THOSE PREMISES DESCRIBED AS PER THE ATTA(HLD <br />5UPPLEKENTAL DECLARATIONS- THIS IS SUBIECT TO ALL APPLICABLE TERMS OF THE <br />POLICY AND ATTACHED FORMS AND ENDORSEMENTS <br />DEDUCTIBLE (PROPtR.TY PROTECTION <br />EMILY)- 200. <br />COVERAl5ES: <br />DEPOSIT <br />PROPERTY" PROTECTION - A$ PER THE <br />ATTACHED SUPPLEMENTAL DECL411kATIONS <br />PREMIUM <br />1. BUILDINGS <br />2. BUSINE$$ PERSONAL PROVERTY <br />AND PERSONAL RROPERTY OF OTHERS <br />1 N C L <br />3. INCOMIE PROTECTION <br />A. GLASS AND LETT E R XNG <br />� <br />5. SI6N5, LIGHTS AND CLOCKS <br />LIMITS OF <br />INSURANCE <br />I NBC L <br />FACH OCCURRENCE LIMIT <br />DAMAf3 E TO PREMISES <br />R E NTF [1 TO YOU LIMIT <br />MEDICAL EXPENSE LIMIT S,OO <br />PERSONAL & ADVER71SINI IN)UR.Y LIMIT 1,000,000 <br />GIN€ RAL AG6R E GATE L IMF T <br />PRODUCTS/COMPLETED OPERATIONS AG,GREGATL LIMIT <br />OPT IO,NA L COVERAGES <br />ANY ONE PREMISES <br />ANY ONE PERSON <br />ANY ONE PERSON OR ORGANIZATION <br />SEE NEXT PAGE <br />TOTAL DEPOSIT PREMIUM - - - - $ :25. <br />APPLICAELE FORMS - SEE SCHEDULE OF FIRMS. <br />See Reverse Side <br />NKE 061115/17 <br />