Orange County NC Website
i <br /> Gerald P ]Burke <br /> Agftk <br /> PO Box 2905 <br /> T R A V1 E L E WS J Hartford , CT 06104-2905 <br /> E <br /> October 26, 2022 Phone : (610) 458-2232 <br /> Email : GPBUR]KE@travelers . com <br /> MEGAN SUMMERS <br /> SUMMERS INSURANCE GROUP (OVM437) : <br /> 2113 CAMERON ST STE 219 <br /> RALEIGH , NC 27605 <br /> This is a Direct Bill policy. The Direct Bill <br /> Account Number is 9862YA191 . <br /> This is the Renewal for : CHARLES S BLACKWOOD <br /> 100 PINEWOOD DRIVE <br /> CHAPEL HILL, NC 27517 <br /> t <br /> Bond Number : 106206426 <br /> Type of Bond : Sheriff <br /> Obligee Name : Orange County North Carolina <br /> i <br /> Obligee Address : PO Box 8181 <br /> Obligee City , State & Zip : IIILLSBOROUGH, NC 27278 USA <br /> Transaction Effective Date : December 01 , 2022 <br /> Premium Effective Date : December 01 , 2022 <br /> Premium Expiry Date : December 01 , 2026 <br /> Bond Limit : $259000 . 00 <br /> Bond Premium : $325. 00 <br /> Commission - Percentage : 30 % <br /> Special Commission : $ 0. 00 <br /> Countersignature Branch : <br /> Countersignature Commission : $ 0 . 00 <br /> State Tax : $ 0. 00 <br /> State Surcharge : $ 0 . 00 <br /> TOTAL PREMIUM : $ 325 . 00 <br /> I <br /> Comments : <br /> Thank you for placing your business with us . <br /> Producer Name : SUMMERS , LARRY A <br /> 5 -4123 (9/96) Premium Evidence <br />