Orange County NC Website
Browse       Search
COMMERCIAL LIQUOR LIABILITY COVERAGE PART DECLARATIONS <br />PRODUCER: <br />NAME OF INSURED AND MAILING ADDRESS: <br />POLICY NUMBER: <br />Personal Care & Assisted Living Insurance Center <br />P.O. Box 933 <br />Hanover, PA 17331 <br />RENEWAL OF NUMBER: 2019-35634 <br />2020-35634 <br />Voices Together <br />88 Vilcom Center Dr. Suite 100 <br />Chapel Hill, NC 27514 <br />POLICY PERIOD: FROM TO <br />AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. <br />BUSINESS DESCRIPTION: <br />LIMITS OF COVERAGE: <br />GENERAL AGGREGATE LIMIT.............................................................. <br />EACH COMMON CAUSE LIMIT.............................................................. <br />PREMIUM:Included <br />FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT THE TIME OF ISSUANCE: <br /> 1,000,000 <br /> 1,000,000 <br />$ <br />$ <br />CG 00 33 04 13 <br />10/10/2020 10/10/2021 <br />Therapeutic music program for people with developmental disabilities <br />THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE <br />FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. <br />BY <br />(AUTHORIZED REPRESENTATIVE) <br />ANI - RRG - LL <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 />9/10/2020 <br />DocuSign Envelope ID: 81A61471-345A-47F9-8A2D-36F7929A6637