Orange County NC Website
Voices Together <br />COMMERCIAL GENERAL LIABILITY <br />EXTENSION OF DECLARATIONS <br />POLICY NUMBER: <br />NAME OF INSURED: <br />2020-35634 <br />Schedule L <br />Page 1 <br />PREMISES <br />LOC/BLDG <br />DESIGNATED PREMISES <br />ADDRESS, CITY, STATE, ZIP <br />ADDITIONAL INSUREDS <br />AND OTHER INTERESTS <br />88 Vilcom Center Drive, Suite 100 <br />Chapel Hill, NC 27514 <br />1 <br />BY <br />(AUTHORIZED REPRESENTATIVE) <br />ANI-RRG - SCHEDULE L <br /> "NOTICE : This Policy is issued by your risk retention group. Your risk retention group may not be subject to all <br />the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for <br />your risk retention group." <br />09/10/2020 <br />DocuSign Envelope ID: 81A61471-345A-47F9-8A2D-36F7929A6637