Orange County NC Website
Browse       Search
DocuSign Envelope ID:009C070B-082A-4583-9299-130CD4A17FEA <br /> DECLARATIONS <br /> for <br /> REAL ESTATE APPRAISERS <br /> INSURANCE GROUP ERRORS&OMISSIONS INSURANCE POLICY <br /> 301 E.Fourth Street,Cincinnati,OH 45202 <br /> THIS IS BOTH A CLAIMS MADE AND REPORTED INSURANCE POLICY. <br /> THIS POLICY APPLIES TO THOSE CLAIMS THAT ARE FIRST MADE AGAINST THE INSURED <br /> AND REPORTED IN WRITING TO THE COMPANY DURING THE POLICY PERIOD. <br /> Insurance is afforded by the company indicated below: (A capital stock corporation) <br /> ❑x Great American Assurance Company <br /> Note: The Insurance Company selected above shall herein be referred to as the Company. <br /> Policy Number: RAP4119029-21 Renewal of: <br /> Program Administrator: Herbert H.Landy Insurance Agency Inc. <br /> 100 River Ridge Drive,Suite 301 Norwood,MA 02062 <br /> Item 1. Named Insured: David Smith <br /> Item 2. Address: 2007 Front Street <br /> City,State,Zip Code: Dudmi,NC 27705 <br /> Item 3. Policy Period: From 01/27/2021 To 01/27/2022 <br /> (Month,Day, Year) (Month,Day, Year) <br /> (Both dates at 12:01 a.m.Standard Time at the address of the Named Insured as stated in Item 2.) <br /> Item 4. Limits of Liability: <br /> A. $ 500,000 Damages Limit of Liability—Each Claim <br /> B. $ 500,000 Claim Expenses Limit of Liability—Each Claim <br /> C. $ 1,000,000 Damages Limit of Liability—Policy Aggregate <br /> D. $ 1,000,000 Claim Expenses Limit of Liability—Policy Aggregate <br /> Item 5. Deductible(Inclusive of Claim Expenses): <br /> A. $ 0.00 Each Claim <br /> B. $ 0.00 Aggregate <br /> Item 6. Premium:$ 727.00 <br /> Item 7. Retroactive Date(if applicable): 01/27/2014 <br /> Item 8. Forms,Notices and Endorsements attached: <br /> D42100(03115) D42300 NC(05113) 1IL7324(08/12) <br /> D42402(05113) D42414(08/19) D42413(06/17) D42412(03/17) ��a r , <br /> Authorized Representative <br /> D42101 (03/15) Page 1 of 1 <br />