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DocuSign Envelope ID:CDB26ED1-82FE-487A-872C-345E8A833228 <br /> POLICY NUMBER: CPP0011769 5 <br /> IL 00$ (11108)-Total Lead Exclusion <br /> IL 009(11108)-Total Asbestos Exclusion <br /> IL 013(12106)-Two Or More Coverage Forms Or Policies Issued By Us <br /> IL0269(09107)North Carolina Changes-Cancellation and Nonrenewal <br /> APPLICABLE TO SPECIFIC PREMISES/COVERAGES <br /> LOCATION: 1 202 N Hoover Rd Durham, NC 27703-2304 <br /> CG 20 11 (01196)-Additional Insured-Managers or Lessors of Premises <br /> The information that follows completes the schedule portion of this endorsement. This endorsement modifies your <br /> coverage. Please refer to the above numbered endorsement(attached)for details. <br /> Premium:$50 <br /> Name and Address:WLD Properties, LLC 202 N Hoover Rd Durham, NC 27703-2304 <br /> CG 20 37(07/04)-Addl Insured-Owners, Lessees,Contractors-C ompOps <br /> Premium:$33 <br /> CG 20 37(07104)-Addl Insured-Owners, Lessees,Contractors-CompOps <br /> Premium: $63 <br /> CG 2142(12/04)-Exci.-Explosion Collapse Underground PD Haz_ <br /> The information that follows completes the schedule portion of this endorsement. This endorsement modifies your <br /> coverage. Please refer to the above numbered endorsement(attached)for details_ <br /> Excluded Hazards: Explosion Hazard <br /> Location And Description Of Operations: BLASTING ONLY <br /> CG 21 54(01/96)-Exclusion Designated Operations Covered by Wrap-Up <br /> The information that follows completes the schedule portion of this endorsement. This endorsement modifies your <br /> coverage. Please refer to the above numbered endorsement(attached)for details. <br /> Description and Location of Operations: LEND LEASE (US)CONSTRUCTION INC., 324 BLACKWELL ST, STE 130., <br /> DURHAM, NC 27701 <br /> PROJECT:VA HOSPITAL IN KERNERSVILL NC <br /> CG 21 54(01196)-Exclusion Designated Operations Covered by Wrap-Up <br /> The information that follows completes the schedule portion of this endorsement. This endorsement modifies your <br /> coverage. Please refer to the above numbered endorsement(attached)for details. <br /> Description and Location of Operations: SKANSKA USA BUILDING INC&SKANSKA USA INC <br /> PROJECT:UNC HOSPITAL <br /> CG 21 54(01196)-Exclusion Designated Operations Covered by Wrap-Up <br /> The information that follows completes the schedule portion of this endorsement. This endorsement modifies your <br /> coverage. Please refer to the above numbered endorsement(attached)for details. <br /> Description and Location of Operations: TURNER CONSTRUCTION CO., 1500 SUNDAY DRIVE.,STE 101.,RALEIGH, <br /> NC 27607 <br /> JOB: SYNGENTA BIOTECHNOLOGY <br /> 1-UNGL-9512-MU-154, 04/04 PREPARED: 10-30-2014 PAGE 5 OF 5 <br /> Includes copyrighted material or Insurance Services Office, Inc.with its permission. <br />