Orange County NC Website
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 />CANCELLATION <br />© 1993-2015 ACORD CORPORATION. All rights reserved.ACORD 27 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <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 />PROPERTY INFORMATION <br />LOCATION/DESCRIPTION <br />COVERAGE INFORMATION <br />COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE <br />PHONE(A/C, No, Ext): <br />(A/C, No):FAX E-MAILADDRESS: <br />AGENCY <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 />CUSTOMER ID #:AGENCY <br />SUB CODE:CODE: <br />INSURED LOAN NUMBER POLICY NUMBER <br />TERMINATED IF CHECKED <br />CONTINUED UNTILEXPIRATION DATEEFFECTIVE DATE <br />THIS REPLACES PRIOR EVIDENCE DATED: <br />COMPANY <br />DATE (MM/DD/YYYY)EVIDENCE OF PROPERTY INSURANCE <br />REMARKS (Including Special Conditions) <br />MORTGAGEE <br />ADDITIONAL INSURED LOSS PAYEE <br />ADDITIONAL INTEREST <br />NAME AND ADDRESS <br />AUTHORIZED REPRESENTATIVE <br />LOAN # <br />PERILS INSURED BASIC BROAD SPECIAL <br />LENDER'S LOSS PAYABLE <br />6/30/2023 <br />864-239-0544 <br />Arthur J.Gallagher Risk Management Services,LLC <br />15 South Main Street <br />Suite 900 <br />Greenville,SC 29601 <br />864-239-2435 <br />Federal Insurance Company <br />15 Mountain View Road <br />Warren,NJ 07059 <br />Mobile Communications America,Inc <br />135 North Church Street,Suite 310 <br />Spartanburg SC 29306 <br />3604-86-83 <br />05/01/2023 05/01/2024 <br />X <br />Personal Property <br />Business Income &Extra Expense <br />17,428,823.99 <br />9,114,499 <br />$5,000 <br />24Hrs <br />Orange County,NC <br />300 West Tryon Street <br />P.O.Box 8181 <br />Hillsborough,NC <br />DocuSign Envelope ID: 90743B6C-BB02-4127-B63F-F6F638A798EF