Orange County NC Website
Browse       Search
Processed on: 08/14/2023 (See reverse side)58 <br />Insured name:PEE WEE HOMES <br />Policy number:Q61 0141888 <br />Policy period:10/26/2023 to 10/26/2024 Page 5 of 8 <br />Risk information for Location 3-Building 1 <br />Address:106HILL ST <br />City/State:CARRBORO, NC <br />Zip code: 27510 <br />County:Orange <br />Insured interest: Building owner <br />Occupancy/Operations: 47051 Real estate development property -lessor'srisk <br />Schedule of Other Interests <br />Loss Payee <br />Self Help Ventures Fund Inc. <br />Self Help Ventures Fund Inc. <br />PO BOX 3619 <br />DURHAM NC 27702-3619 <br />RE:Building <br />Location 2Building 1 <br />Additional Insured <br />Additional insured-Specified operations –Automatic status for other parties when required in written agreementwith you (EPP1802) <br />Townof Carrboro <br />Townof Carrboro <br />301 W MAINST <br />CARRBORONC 27510-2029 <br />Additional Insured <br />Additional insured-Specified operations –Automatic status for other parties when required in written agreementwith you (EPP1802) <br />Townof ChapelHill <br />Townof ChapelHill <br />405 MARTINLUTHER KING JR BLVD <br />CHAPELHILL NC 27514-5705 <br />Schedule of Forms <br />Form number Edition date Description <br />CG0001 04/13 CommercialGeneralLiabilityCoverage Form <br />CG2106 05/14 Exclusion -Access or Disclosure of Confidential or Personal Information andData-Related <br />Liability -With LimitedBodilyInjury Exception <br />CG2109 06/15 Exclusion -UnmannedAircraft <br />CG2170 01/15 Cap on Losses fromCertifiedActsofTerrorism <br />CG403205/23 *Exclusion -Perfluoroalkyl andPolyfluoroalkylSubstances (PFAS) <br />EPP0001 10/22 ErieSecure Business PropertyCoverage Part <br />EPP0006 10/19 ErieSecure Business Extra LiabilityCoverages <br />EPP0008 09/23 * Policy Change Endorsement-Exclusions <br />EPP0009 10/19 Exclusion -ProfessionalLiability <br />EPP0010NC 10/22 North Carolina PropertyChange Endorsement <br />EPP0011NC 10/19 * North Carolina LiabilityChange Endorsement <br />EPP0030 07/21 ImportantNotice to North Carolina Policyholders -ErieSecure Business <br />EPP0051 10/19 ImportantNotice -Data Breach Response Expenses Coverage <br />EPP0211 10/19 Loss Payee Provision <br />EPP0222 10/19 Windstorm or Hail-Deductible <br />EPP180210/19 Additional Insured-SpecifiedOperations -Automatic Status for Other Parties when Required <br />in Written Agreementwith You <br />EPP3208 10/19 Exclusion -LeadLiability <br />DocuSign Envelope ID: F0173FA0-7E4E-4268-804F-F1D567D87EB7