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BUSINESSOWNERS DECLARATION <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 />391-1403 08/16 DELUXE BRONZE BROADENING <br />391-1725 06/13 SPECIAL EVENTS LIMITATION ENDT <br />391-1716 06/13 ADDL INSURED -CLUB MEMBERS <br />401-1374 12/20 DISCLOSURE PURSUANT TO TRIA <br />391-1114 01/15 CAP ON LOSSES FROM TERRORISM <br />391-1313 01/15 EXCLUSION OF PUNITIVE DAMAGES <br />391-1006 08/16 LIABILITY SPECIAL BROADENING <br />391-1102 08/16 EXCL -FUNGI OR BACTERIA LIAB <br />391-1003 08/16 BUSINESSOWNERS COVERAGE FORM <br />421-0022 07/02 ASBESTOS EXCLUSION <br />391-1910 08/16 NORTH CAROLINA CHANGES <br />BP0417 01/10 EMPLYMT RELATED PRACTICES EXCL <br />231-0475 06/89 PILR NOTICE <br />BP1214 07/02 NC EFFECTIVE TIME CHANGES <br />391-1375 01/10 AMEND LIMITS PERSONAL AND ADV <br />BP1203 01/10 LOSS PAYABLE PROVISIONS <br />401-1504 01/20 CAP LOSSES CERT ACTS OF TERR <br />401-1505 01/20 EX PUNI RTD TO CTD ACT TER <br />391-1440 01/15 DATA BREACH COVERAGE FORM <br />391-1442 12/09 ASSOC AND FAMILY MBR ADD COV <br />391-1585 12/11 IDENTITY THEFT NOTICE <br />391-1867 01/15 NC CHANGES -DATA BREACH <br />391-1724 06/13 SCHEDULED SPECIAL EVENTS ENDT <br />02/13/2023 ORIGINAL/INSURED <br />Policy Number Policy Period <br />From To <br />Coverage is Provided in the Agency Code <br />Named Insured and Address Agent <br />Forms and Endorsements Schedule <br />Form Number Edition Date Description <br />Form 391-1016 (7-99 <br />Date Issued: <br />DocuSign Envelope ID: 0394510E-E3BC-41FC-9E39-4912EB106E3B