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DocuSign Envelope ID:68F05080-33EE-41E0-93FD-DE049F29D80F <br /> DATE(MM/DD/YYYY) <br /> ACC> " EVIDENCE OF PROPERTY INSURANCE 5/25/2021 <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 /> AGENCY PHONE A/C,No,Ext9199428733 COMPANY <br /> Seagroves Agency,Inc. <br /> 35 Suttles Rd.Ste. 150 NATIONWIDE GENERAL INS CO <br /> Pittsboro NC 27312 <br /> FAX E MAIL <br /> (A/C,No): ADDRESS: Jean@seagrovesmsurance.com <br /> CODE: 34602 SUB CODE: 021 <br /> AGENCY <br /> CUSTOMER ID#: <br /> INSURED LOAN NUMBER POLICY NUMBER <br /> Fpp 128,LLC/C3 Hillsborough ACPBPOG3047759560 <br /> 238 S Nash St EFFECTIVE DATE EXPIRATION DATE <br /> CONTINUED UNTIL <br /> 06/30/2020 06/30/2021 El TERMINATED IF CHECKED <br /> Hillsborough NC 27278-2339 THIS REPLACES PRIOR EVIDENCE DATED: <br /> PROPERTY INFORMATION <br /> LOCATION/DESCRIPTION <br /> 115 E King St <br /> Hillsborough NC 27278-2570 <br /> LOC: 1 BLDG: 1-PR Loc:1 Sub: 1 OFFICE-PROFESSIONAL-NOC(65400) <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 /> COVERAGE INFORMATION PERILS INSURED I JBASIC I I BROAD I I SPECIAL <br /> COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE <br /> Building 143,900 1,000 <br /> Business Income with Extra Expense 12 <br /> Monies and Securities on Premises 10,000 1,000 <br /> Monies and Securities off Premises 10,000 1,000 <br /> Trees,Shrubs and Plants 10,000 1,000 <br /> Accounts Receivable 25,000 1,000 <br /> Valuable Papers 25,000 1,000 <br /> Depositor's Forgery 10,000 1,000 <br /> Systems Breakdown-Basic <br /> Sign 2,500 1 1,000 <br /> REMARKS(including Special Conditions <br /> CANCELLATION <br /> 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 /> ADDITIONAL INTEREST <br /> NAME AND ADDRESS ADDITIONAL INSURED LENDER'S LOSS PAYABLE Ll LOSS PAYEE <br /> MORTGAGEE <br /> Orange County LOAN# <br /> PO Box 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> ACORD 27(2016/03) ©1993-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />