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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 />CANCELLATION <br />© 1993-2015 ACORD CORPORATION. All rights reserved.ACORD 27 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />PROPERTY INFORMATION <br />LOCATION/DESCRIPTION <br />COVERAGE INFORMATION <br />COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE <br />PHONE <br />(A/C, No, Ext): <br />(A/C, No): <br />FAX E-MAIL <br />ADDRESS: <br />AGENCY <br />THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. <br />CUSTOMER ID #: <br />AGENCY <br />SUB CODE:CODE: <br />INSURED LOAN NUMBER POLICY NUMBER <br />TERMINATED IF CHECKED <br />CONTINUED UNTIL <br />EXPIRATION DATEEFFECTIVE DATE <br />THIS REPLACES PRIOR EVIDENCE DATED: <br />COMPANY <br />DATE (MM/DD/YYYY) <br />EVIDENCE OF PROPERTY INSURANCE <br />REMARKS (Including Special Conditions) <br />MORTGAGEE <br />ADDITIONAL INSURED LOSS PAYEE <br />ADDITIONAL INTEREST <br />NAME AND ADDRESS <br />AUTHORIZED REPRESENTATIVE <br />LOAN # <br />PERILS INSURED BASIC BROAD SPECIAL <br />LENDER'S LOSS PAYABLE <br />Hillsborough NC 27278 <br />PO Box 8181 <br />Orange County <br />1,0002,500Sign <br />Systems Breakdown - Basic <br />1,00010,000Depositor's Forgery <br />1,00025,000Valuable Papers <br />1,00025,000Accounts Receivable <br />1,00010,000Trees, Shrubs and Plants <br />1,00010,000Monies and Securities off Premises <br />1,00010,000Monies and Securities on Premises <br />12Business Income with Extra Expense <br />1,000143,900Building <br />LOC: 1 BLDG: 1 - PR Loc: 1 Sub: 1 OFFICE - PROFESSIONAL - NOC (65400) <br />27278-2570NCHillsborough <br />115 E King St <br />06/30/202106/30/2020 <br />ACPBPOG3047759560 <br />27278-2339NCHillsborough <br />238 S Nash St <br />Fpp 128, LLC/ C3 Hillsborough <br />NATIONWIDE GENERAL INS CO <br />02134602 <br />Jean@seagrovesinsurance.com <br />9199428733 <br />27312NCPittsboro <br />35 Suttles Rd. Ste. 150 <br />Seagroves Agency, Inc. <br />5/25/2021 <br />DocuSign Envelope ID: 68F05080-33EE-41E0-93FD-DE049F29D80F