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X
<br />X
<br />X
<br />Cyber Liability
<br />X
<br />X
<br />X
<br />X
<br />X
<br />Limit Deductible
<br />191,921,680$ $1,000
<br />5/25/2021
<br />Certificate Mailed/E-Mailed or Faxed to:
<br />C3 Hillsborough LLC
<br />FPP 128 LLC
<br />0
<br />0
<br />LIABILITY AND PROPERTY COVERAGE CERTIFICATE
<br />COVERAGE PROVIDER:
<br />NCACC Liability and Property Pool
<br />MEMBER:
<br />323 West Jones St., Suite 500
<br />Raleigh, NC 27603
<br />P.O. Box 8181
<br />Hillsborough, NC 27278
<br />July 1, 2021
<br />July 1, 2021
<br />This certificate is provided by the NCACC Liability and Property
<br />Pool and is issued as a matter of information only. This
<br />certificate confers no rights upon the certificate holder other than
<br />those provided in the coverage document. This certificate does
<br />not amend, extend, or alter the coverage afforded by the
<br />coverage documents listed herein.
<br />Liability
<br />Orange County
<br />COVERAGES
<br />Limits
<br />$2,000,000 occurrence
<br />LP-OR-067-20
<br />Effective
<br />Date
<br />Expiration
<br />Date
<br />Type of Coverage Coverage
<br />Contract #
<br />Excess Liability
<br />General Liability –
<br />Each Occurrence,
<br />No Aggregate applies
<br />Public Officials Liability,
<br />Each Wrongful Act
<br />Law Enforcement Liability,
<br />Each Occurrence
<br />LP-OR-067-20
<br />LP-OR-067-20
<br />LP-OR-067-20
<br />LP-OR-067-20
<br />July 1, 2020
<br />July 1, 2020
<br />July 1, 2020
<br />July 1, 2020
<br />July 1, 2020
<br />$4,000,000LP-OR-067-20
<br />Automobile Liability
<br />July 1, 2021
<br />July 1, 2021
<br />July 1, 2021
<br />July 1, 2020
<br />July 1, 2021
<br />July 1, 2021
<br />July 1, 2020
<br />Cancellation: Should any of the described coverage documents herein be
<br />cancelled before the expiration date shown, the NCACC Pools will endeavor to
<br />mail written notice to the Certificate Holder named herein, but failure to mail such
<br />notice shall impose no obligation or liability of any kind upon the NCACC Pools, its
<br />agents or representatives, or the issuer of this certificate.
<br />C3 Hillsborough LLC
<br />FPP 128 LLC
<br />By: Willie J. Allen Jr.,
<br />Underwriter for the NCACC
<br />CERTIFICATE HOLDER:
<br />Additional Information: Evidence of Coverage.
<br />$2,000,000 occurrence
<br />LP-OR-067-20
<br />LP-OR-067-20 July 1, 2020
<br />LP-OR-067-20
<br />Scheduled Vehicles
<br />Hired Autos (if coverage is not
<br />purchased elsewhere)LP-OR-067-20
<br />Excess Auto Liability for
<br />Non-Owned Autos
<br />July 1, 2021
<br />July 1, 2020
<br />All Owned Autos,
<br />Each Accident
<br />Hired Autos,
<br />Each Accident
<br />$1,000,000 aggregate
<br />Claims Made
<br />July 1, 2021
<br />LP-OR-067-20 July 1, 2021
<br />Property – Risks of Direct Physical Loss,
<br />Blanket Limit
<br />July 1, 2020
<br />July 1, 2020 July 1, 2021
<br />The Certificate Holder is Additional Insured with resepcts to 115 King Street.
<br />Automobile Physical Damage
<br />Actual Cash Value at the time of
<br />the Loss, unless otherwise
<br />specified in the Coverage
<br />Document; Deductible Applies
<br />DocuSign Envelope ID: 68F05080-33EE-41E0-93FD-DE049F29D80F
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