Orange County NC Website
Page 2 <br />Term <br />AGENCY POLICY NUMBER <br />INSURED to <br />Issued <br />112315-35778379-22THE INSURANCE CENTER OF DURHAM INC <br />15-0415-00 <br />Auto-Owners Ins. Co. <br />ENO RIVER FARMERS MARKET INC <br />Company <br />Bill 35-23-NC-1104 <br />02-16-2022 <br />04-03-2022 04-03-2023 <br />MKT TERR 050 <br />55040 (11-87) <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />COVERAGE LIMITS OF INSURANCE <br />General Aggregate $2,000,000 <br /> (Other Than Products-Completed Operations) <br />Products-Completed Operations Aggregate $2,000,000 <br />Personal And Advertising Injury $2,000,000 <br />Each Occurrence $2,000,000 <br />Damage to Premises Rented to You (Fire Damage) $50,000 Any One Premises <br />Medical Payments $5,000 Any One Person <br />Twice the "General Aggregate Limit", shown above, is provided at no additional charge for each 12 month period in <br />accordance with form 55885. <br />AUDIT TYPE: Annual Audit <br />Forms that apply to this coverage: <br />55405 (07-08) 59351 (01-15) 55146 (06-04) IL0269 (10-94) IL0017 (11-85) <br />IL0021 (07-02) CG2106 (05-14) CG0001 (04-13) 55513 (05-17) CG2109 (06-15) <br />55029 (05-17) CG2196 (03-05) CG2132 (05-09) CG2147 (12-07) 55885 (05-17) <br />CG2026 (04-13) CG2011 (04-13) 59325 (12-19) 59392 (11-20) <br />LOCATION 0001 - BUILDING 0001 <br />Location: River Park & Eno River, Hillsborough, NC 27278-7907 <br />Territory: 004 County: Orange <br />SUBLINE PREMIUM BASIS RATE PREMIUMCODECLASSIFICATION <br />Markets - Open Air (Lessor's Risk Only) (For-Profit)15123 <br />Prem/Op <br />Prod/Comp Op <br />Gross Sales <br /> $100,000 <br /> $100,000 <br />Each 1000 <br /> .818 <br /> .127 <br /> $82.00 <br /> $13.00 <br />Additional Interests 49950 <br />Designated Per/Organization L <br /> 1. Orange County Prem/Op Flat Charge $25.00 <br /> Prod/Comp Op Flat Charge $25.00 <br />Managers/Lessors Of Premises <br /> 1. Orange County Prem/Op Flat Charge $25.00 <br />PREMIUMCOMMERCIAL GENERAL LIABILITY COVERAGE - LOCATION 0001 SUMMARY <br /> EXCLUDEDTERRORISM - CERTIFIED ACTS SEE FORM: 59351 <br />TERRORISM COVERAGE <br />A PREMIUM CHARGE MAY BE MADE EFFECTIVE 01-01-28 SEE FORMS 55405, 59392 <br /> $170.00LOCATION 0001 <br />DocuSign Envelope ID: 9FB641C3-C7F6-4609-BE4A-71829032AD83