Orange County NC Website
DocuSign Envelope ID: 12DCC4E1-4D61-4DOE-A2A2-7C6E689613AC <br /> 20MUTERCON <br /> ACOR& EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DATE(MM/DD/YYYY) <br /> 06/27/2019 <br /> THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br /> UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER <br /> THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN <br /> THE ISSUING INSURERS AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE ADDITIONAL INTEREST. <br /> PRODUCER NAME, COMPANY NAME AND ADDRESS NAIC NO. 22zg2 <br /> CONTACT PERSON AND ADDRESS_Lr No 919 281-4500 Ext: _ Hanover Insurance company <br /> McGriff Insurance Services Box 85612 <br /> Post Office Box 13941 Richmond,VA=65 <br /> Durham,NC 27709 <br /> X .8887468761 auu IL <br /> FA ,bpendleton@mcgriffinsurance.com IF MULTIPLE COMPANIES,COMPLETE SEPARATE FORM FOR EACH <br /> CODE: SUB CODE: POLICY TYPE <br /> CUSTOMER ID a: 1619133 Builders Risk <br /> NAMED INSURED AND ADDRESS LOAN NUMBER t POLICY NUMBER <br /> Muter Construction LLC IH6A09690205 <br /> 100 N.Arendell Avenue <br /> Zebulon,INC 27597 EFFECTIVE DATE EXPIRATION DATE <br /> CONTINUED UNTIL <br /> 09/03/2018 09/03/2019 TERMINATED IF CHECKED <br /> ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: <br /> PROPERTY INFORMATION ACORD 101 may be attached if mores ace is required) ® BUILDING OR ❑ BUSINESS PERSONAL PROPERTY <br /> 2551THomesteadlRoad,Chapel Hill,INC 27561 <br /> Orange County Southern Expansion Phase 1-Seymour Center Renovation and Addition <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY <br /> BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS <br /> OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> COVERAGE INFORMATION PERILS INSURED I I BASIC I BROAD I X I SPECIAL <br /> COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $4,444,500 Building DED: 1,000 <br /> ES NO NIA <br /> ❑ BUSINESS INCOME ❑RENTAL VALUE X If YES,LIMIT: Actual Loss Sustained;#of months <br /> BLANKET COVERAGE X If YES,indicate value(s)reported on property identified above:$ <br /> TERRORISM COVERAGE X Attach Disclosure Notice/DEC <br /> IS THERE A TERRORISM-SPECIFIC EXCLUSION? X <br /> IS DOMESTIC TERRORISM EXCLUDED? I X <br /> LIMITED FUNGUS COVERAGE X If YES,LIMIT: 100,000 DED: 1,000 <br /> FUNGUS EXCLUSION(IF"YES",specify organization's form used) X <br /> REPLACEMENT COST X <br /> AGREED VALUE X <br /> COINSURANCE _ X If YES, % <br /> EQUIPMENT BREAKDOWN(If Applicable) X If YES,LIMIT:Included DED: 1,000 <br /> ORDINANCE OR LAW -Coverage for loss to undamaged portion of bldg X If YES,LIMIT:Included DED: 1,000 <br /> Demolition Costs X PLIMIT: <br /> T: 1,000,000 DED: 1,000 <br /> Incr.Cost of Construction X : INCLUDED DED: 1,000 <br /> EARTH MOVEMENT(If Applicable) X : 1,000,000 DED: 25,000 <br /> FLOOD(If Applicable) X : 1,000,000 DED: 25,000 <br /> WIND/HAIL INCL YES NO Subject to Different Provisions X : Included DED: 1,000 <br /> NAMED STORM INCL YES NO Subject to Different Provisions X If YES,LIMIT: DED: <br /> PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE X <br /> HOLDER PRIOR TO LOSS <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ADDITIONAL INTEREST <br /> CONTRACT OF SALE LENDER'S LOSS PAYABLE LOSS PAYEE LENDER SERVICING AGENT NAME AND ADDRESS <br /> MORTGAGEE HX Additional Insured <br /> NAME AND ADDRESS <br /> Orange County <br /> 200 South Cameron Street <br /> PO Box 8181 <br /> Hillsborough,NC 27278 <br /> AUTHORIZED RE,P,RsESENTATIVE <br /> 76�.�ca 07' + <br /> S 488837 Pagel of 3 ©2003-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 28(2016/03) The ACORD name and logo are registered marks of ACORD BDPE <br />