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Page 1 <br />ADDRESS <br />POLICY NUMBER <br />INSURED <br />to <br />AGENCY <br />Issued <br />In consideration of payment of the premium shown below, this policy is renewed. Please attach this Declarations and attachments to your policy. If you <br />have any questions, please consult with your agent. <br />112315-35778379-22 <br />THE INSURANCE CENTER OF DURHAM INC <br />919-471-254115-0415-00 <br />6101 ANACAPRI BLVD., LANSING, MI 48917-3999 <br />INSURANCE COMPANY <br />ENO RIVER FARMERS MARKET INC <br />PO BOX 487 <br />HILLSBOROUGH NC 27278-0487 <br />Bill <br />Company <br />35-23-NC-1104Company Use <br />02-16-2022 <br />Policy Term <br />04-03-2022 <br />12:01 a.m. <br />04-03-2023 <br />12:01 a.m. <br />TAILORED PROTECTION POLICY DECLARATIONS <br />MKT TERR 050 <br />04-03-2022EffectiveRenewal <br />COMMON POLICY INFORMATION <br />55039 (11-87) <br />Business Description: <br />Entity: <br /> <br /> <br /> Open Air Farmers Mkt <br />Corporation <br />THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PART(S):PREMIUM <br />COMMERCIAL GENERAL LIABILITY COVERAGE $170.00 <br />MINIMUM PREMIUM ADJUSTMENT (GL) $95.00 <br />TOTAL $265.00 <br />THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. <br />Premium shown above for commercial general liability coverage is an advanced premium deposit and may be subject to audit. <br />Forms that apply to all coverage part(s) shown above (except garage liability, dealer's blanket, commercial automobile, if applicable): <br />59495 (08-11) 55000 (07-12) 59392 (11-20) 59349 (10-03) <br />Countersigned By: ________________________________________ <br />DocuSign Envelope ID: 9FB641C3-C7F6-4609-BE4A-71829032AD83