Orange County NC Website
DocuSign Envelope ID:48D95A50-1183-4EB9-9997-46BD3AOD7724 <br /> StateFarm M 4646 <br /> • <br /> ••° DECLARATIONS(CONTINUED) <br /> Office Policy for ANALYTICAL CONSULTANTS INC <br /> Policy Number 93-13F-D971-7 <br /> SCHEDULE OF ADDITIONAL INTERESTS <br /> Interest Type: Addl Insured-Section II <br /> Endorsement#: CMP4796 <br /> Loan Number: 9512836930-0000 <br /> BB&T INSURANCE TRACKING CENTER <br /> PO BOX 20004 <br /> KENNESAW GA 301569246 <br /> This policy is issued by the State Farm Fire and Casualty Company. <br /> Participating Policy <br /> You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in <br /> accordance with the Company's Articles of Incorporation,as amended. <br /> In Witness Whereof,ithe State Farm Fire and Casualty Company has caused this policy to be signed by its President and <br /> Secretary at Bloomington, Illinois. <br /> *,.-ht-�� <br /> Secretary President <br /> Prepared <br /> AUG 03 2018 ©Copyright,State Farm Mutual Automobile Insurance Company,2000 <br /> CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. <br /> 004650 290 Page 7 of 7 <br /> E <br />