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DocuSign Envelope ID:68F05080-33EE-41E0-93FD-DE049F29D80F
<br /> F. . N O R T H C A R 0 L 1 N A
<br /> ' AssociA-rION or COUNTY CAMMISSIONEPS
<br /> DISK MANAGEMENT POOLS
<br /> D`C-0 NfO Covering the CDuntr@s that Cover our State
<br /> LIABILITY AND PROPERTY COVERAGE CERTIFICATE
<br /> COVERAGE PROVIDER:
<br /> NCACC Liability and Property Pool
<br /> 323 West Jones St., Suite 500 This certificate is provided by the NCACC Liability and Property
<br /> Pool and is issued as a matter of information only. This
<br /> Raleigh, NC 27603 certificate confers no rights upon the certificate holder other than
<br /> MEMBER: those provided in the coverage document. This certificate does
<br /> Orange County not amend, extend, or alter the coverage afforded by the
<br /> P.O. Box 8181 coverage documents listed herein.
<br /> Hillsborough, NC 27278
<br /> COVERAGES
<br /> Type of Coverage Coverage Effective Expiration
<br /> Contract# Date Date Limits
<br /> Liability
<br /> General Liability—
<br /> X Each Occurrence,
<br /> No Aggregate applies LP-OR-067-20 July 1, 2020 July 1, 2021
<br /> X Public Officials Liability, $2,000,000 occurrence
<br /> Each Wrongful Act LP-OR-067-20 July 1, 2020 July 1, 2021
<br /> X Law Enforcement Liability,
<br /> Each Occurrence LP-OR-067-20 July 1, 2020 July 1, 2021
<br /> Cyber Liability 1,000,000 aggregate
<br /> LP-OR-067-20 July 1, 2020 July 1, 2021 Claims Made
<br /> Excess Liability
<br /> LP-OR-067-20 July 1, 2020 July 1, 2021 $4,000,000
<br /> Automobile Liability
<br /> X All Owned Autos,
<br /> Each Accident LP-OR-067-20 July 1, 2020 July 1, 2021
<br /> Hired Autos,
<br /> X Each Accident $2,000,000 occurrence
<br /> LP-OR-067-20 July 1, 2020 July 1, 2021
<br /> X Excess Auto Liability for
<br /> Non-Owned Autos LP-OR-067-20 July 1, 2020 July 1, 2021
<br /> Automobile Physical Damage
<br /> X Scheduled Vehicles Actual Cash Value at the time of
<br /> LP-OR-067-20 July 1, 2020 July 1, 2021 the Loss, unless otherwise
<br /> Hired Autos (if coverage is not specified in the Coverage
<br /> X purchased elsewhere) Document; Deductible Applies
<br /> LP-OR-067-20 July 1, 2020 July 1, 2021
<br /> Property— Risks of Direct Physical Loss,
<br /> Limit Deductible
<br /> Blanket Limit LP-OR-067-20 July 1, 2020 July 1, 2021 $ 191,921,6801 $1,000
<br /> Additional Information: Evidence of Coverage.
<br /> The Certificate Holder is Additional Insured with resepcts to 115 King Street.
<br /> CERTIFICATE HOLDER: Cancellation: Should any of the described coverage documents herein be
<br /> C3 Hillsborough LLC 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 /> FPP 128 LLC 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 /> By: Willie J. Allen Jr.,
<br /> Underwriter for the NCACC 5/25/2021
<br /> Certificate Mailed/E-Mailed or Faxed to:
<br /> C3 Hillsborough LLC
<br /> FPP 128 LLC
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