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DocuSign Envelope ID:48D95A50-1183-4EB9-9997-46BD3AOD7724 <br /> i stateFarm STATE FARM FIRE AND CASUALTY COMPANY <br /> • A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS <br /> ••o <br /> Aflanfa"c�A r3o346-2]17 Policy Number 93-BF-D971-7 <br /> Policy Period Effective Date Exppiration Date <br /> M-07-1010-FB5D F U 12 Months OCT 1 2018 0 T 1 2019 <br /> 000sao 3123 The poli y period begins and ends at 1 2:01 am standard <br /> Named Inured time att�ie premises on. <br /> ANALYTICAL CONSULTANTS INC A ent and Mailing Address <br />— 125 KINGSTON DR STE 206 KRIN COOKE <br /> CHAPEL HILL NC 27514-1649 200 TIMBERHILL PL UNIT 202 <br /> CHAPEL HILL NC 27514-1964 <br /> PHONE: (91.9) 918-4478 <br /> Office Policy <br /> Automatic Renewal- If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and <br /> forms in effectfor each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in <br /> compliance with the policy provisions or as required by law. <br /> Entity: Corporation <br /> NOTICE: Information concerning changes in your policy language is included. Please call your agent <br /> if you have any questions. <br /> POLICY PREMIUM $ 708.00 <br /> Discounts Applied: <br /> Renewal Year <br /> Years in Business <br /> Protective Devices <br /> Sprinkler <br /> Claim Record <br /> Prepared <br /> 2018 ©Copyright.State Farm Mutual Automobile Insurance Company,2008 <br /> AUG re <br /> AUG 03 00 Includes copyrighted material of Insurance Services Office,Inc„with its permission. <br /> CMP <br /> 004647 290 1 Continued on Reverse Side of Page Page 1 of 7 <br /> E D2 R9a-RRen7 R5-2I-7R11 I.M7310 <br />