Orange County NC Website
ADDITIONAL INTEREST SCHEDULE <br />Policy Number Policy Period <br />From To <br />Coverage is Provided in the Agency Code <br />Named Insured and Address Agent <br />Name And Address Interest Type Location Building <br />Form 391-1014 (7-99) <br />Date Issued: <br /> <br /> BUSINESSOWNERS AMENDED DECLARATIONS EFFECTIVE 01/05/2023 NUMBER 02 <br />32 <br />SUPERSEDES ANY PREVIOUS DECLARATIONS BEARING THE SAME NO. FOR THIS POLICY PERIOD <br />AMENDED LOC ADDRESS <br />OZ6-H175809-03 01/05/2023 01/05/2024 THE HANOVER AMERICAN INSURANCE COMPANY 190290900 <br />CHAPEL HILL - CARRBORO CHAMBER <br />OF COMMERCE <br />104 S. ESTES DRIVE STE 102 <br />CHAPEL HILL, NC 27514 <br />919-636-3252 <br />TITAN RISK CONSULTANTS <br />107 CONNER DR STE 225 <br />CHAPEL HILL, NC 27514 <br /> <br /> <br />PINNACLE BANK <br />P.O. BOX 702726 <br />DALLAS, TX 75370 <br /> LOSS PAYEE 001 ALL <br />PINNACLE BANK <br />P.O. BOX 702726 <br />DALLAS, TX 75370 <br /> MORTGAGEE 001 ALL <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />02/13/2023 ORIGINAL/INSURED <br />DocuSign Envelope ID: 0394510E-E3BC-41FC-9E39-4912EB106E3B