Orange County NC Website
Processed on: 08/14/2023 (See reverse side)38 <br />Insured name:PEE WEE HOMES <br />Policy number:Q61 0141888 <br />Policy period:10/26/2023 to 10/26/2024 Page 3 of 8 <br />LiabilityProtection <br />Commercial general liabilitycoverage <br />Coverage Deductible Limit <br />Bodilyinjury and property damage $1,000,000 Each <br />occurrence <br />Personal and advertising injury $1,000,000 Any one person <br />or organization <br />Medical expense payments $5,000 Any one person <br />Damage topremisesrentedtoyou–Fire legalliability $1,000,000 Any one <br />premises <br />General aggregate $2,000,000 <br />Products –Completed operations aggregate $2,000,000 <br />Non-owned andhired automobile liabilityIncluded <br />Damage tocustomers autos -Legalliability $200 Included <br />PolicyOptional Coverages and Exclusions <br />Coverage Deductible Limit <br />Additional insured-Specified operations –Automatic status for other parties <br />when required in written agreementwith you (EPP1802) <br />Exclusion -Perfluoroalkyl andPolyfluoroalkylSubstances (PFAS) <br />PropertyProtection <br />Risk information for Location 1-Building 1 <br />Address:506MITCHELL LN <br />City/State:CHAPELHILL, NC <br />Zip code: 27516 <br />County:Orange <br />Property deductible*: $1,000 <br />Production or process machinery <br />deductible:$1,000 <br />Production or process machinery <br />deductible -Income protection:1x day <br />Windstorm/Hail: Property deductible <br />Insured interest: Building owner <br />Year built: 2022 <br />Occupancy/Operations: 63011 Dwelling -lessor'srisk only -two family -lessor'srisk <br />Automatic adjustment of building coverage:9% <br />*Property deductible applies unless otherwise indicated below. <br />Location 1-Building 1 summary <br />Coverage Deductible Limit <br />Propertycoverage part <br />Building:Comprehensive perils, 80%coinsurance,Replacement cost $252,000 <br />DocuSign Envelope ID: F0173FA0-7E4E-4268-804F-F1D567D87EB7