Orange County NC Website
DocuSign Envelope ID: F8416631-822D-444C-8COE-F530EA41841C <br /> HP 6229793 19616 COINSURANCE CONTRACT <br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY PART B DECLARATION PAGE <br /> P.0,BOX 27427 R A L El GH,NORTH CAROLINA 2 7611-7427 HOMEOWNERS POLICY <br /> POLICY RENEWAL DECLARATION <br /> .................................. .......... ............................. ....................................... <br /> .......... My., I <br /> ................... <br /> ..................................... <br /> ............... ...... .. ........... HP --.0 <br /> BER.......... ........... <br /> ................... .......... .................................. <br /> F_+ ..............;.......... 9018 <br /> _....-_.:._...-....._.._.:........._.......... aft....I ............. <br /> .............................................. ...... ...................... <br /> .......... ................... <br /> ................. .......................... <br /> HP 6229793 10/2,8/18 .110/28/19 0916085 HO DECL 0913 0685730 <br /> .............. <br /> ...................................... <br /> -; . -1.1 L.16;1.. ........................... <br /> ........................... .......... <br /> NAMEV_[NSURED.:AN0.;;AV1)R . ...... -N <br /> .................. ........... .................. <br /> ................................ ..................... -------­'­.­­.......... <br /> .................. . . .......................................­1...... <br /> DWIGHT E COMPTON SR <br /> BETTY COMPTON <br /> 5900 COMPTON RD MATTHEW S DEITZ <br /> CEDAR GROVE, NC 27231 -9353 TELE: (919) 732-7430 <br /> 110 MILLSTONE DR <br /> HILLSBOROUGH, NC 27278 <br /> DESCRIPTION OF ADDITIONAL COVERAGES <br /> SPECIFIED ADD' L AMOUNT OF INSURANCE FOR COV A ONLY <br /> PERCENTAGE IS 25. <br /> PROTECTIVE DEVICES <br /> AUTOMATIC SMOKE DETECTORS . <br /> INCIDENTAL-FARM <br /> LIABILITY APPLIES TO INITIAL FARM. <br /> PERSONAL PROPERTY REPLACEMENT COST <br /> REFRIGERATED PERSONAL PROPERTY *100 DEDUCTIBLE <br /> ................—-—-------------- —-----—------ <br /> .. ....................... . .............. ............... .............................­­­;r.;..;;;;;;�................ <br /> ............... <br /> .......................................... <br /> ..........................- <br /> ................ <br /> mimiiff. E, .........I......................... . .................................._=------------------.............._m mm,H ................ ........................ ...... mum;==...................... ...................................... ui;............... <br /> ................. .................. ........... <br /> ........................... ............ .........------------- <br /> ------------------------------ ...... <br /> -:�............ <br /> ............. ,.........­ ..........­­.......... .............. <br /> ........... ­...........w__ ............. <br /> mm; ....................... <br /> mmin. ­u..................... I= <br /> __ ............... <br /> im .............­ _ <br /> ............... ............ <br /> ............MnF _.r.;;;;; <br /> ..... n�Epm <br /> - -.n. ....................ElF.. <br /> .......... <br /> ---------- <br /> -ME.......... ........... <br /> EMR�............ ......... gz <br /> ................. <br /> ............... ............ <br /> .......... . ........ <br /> .......... <br /> ............ . ............ <br /> ............ ................ ...............1 ___" - <br /> ............;2m I ................................... ............... ....... <br /> W=m <br /> .............. <br /> ............ . ............. . ....... <br /> ...................- <br /> ......... <br /> .......... <br /> ------------- ............ <br /> ... ............ <br /> ...... ------- <br /> ................ <br /> MIMI! ............................ <br /> .......................... -----------............................ ............... <br /> ............ <br /> ..............- .................................. ................. ....................... <br /> ............. umi; 9i m <br /> ............. ............................ ............ mmu�. <br /> ............... ................... <br /> ;=­............... miu'r.- ......... <br /> ........... <br /> ............. <br /> .................. ............... <br /> ................. ..................... -­gj;­­ ­mm <br /> .......... <br /> umllllml_­­­....................mimiu;1. <br /> mmllj_................................. MEME, <br /> --------------------- ................. ------------ <br />