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POLICY NUMBER: <br />DECLARATIONS <br />Named Insured and Address (No., Street, Town, County, State)Agent <br />Policy Period: (Month, Day, Year) <br />From To <br />12:01 AM, standard time at the address of the Named Insured as stated herein. <br /> PRE PAID - the total annual premium is due at inception. <br /> Form of Business: <br /> Individual Partnership Corporation Limited Liability Company <br /> Organization (Other than Partnership, Joint Venture, or Limited Liability Company <br /> Business Description: <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, <br />WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. THIS PREMIUM MAY <br />BE SUBJECT TO AUDIT. <br /> Limit of Liability (Section III) <br /> Each Occurrence Limit $ <br /> General Aggregate Limit $ <br /> Product Completed Operations Aggregate Limit $ <br /> Retained Limit Self-Insured Retention $ NIL <br /> Premium Computation <br /> Annual Premium $ <br /> Advance Premium $ <br />Endorsements: <br /> HANOCASH - the annual premium is payable according to the term of the Hanocash endorsement <br />attachment <br /> ACCOUNT BILL DIRECT BILL Annual Semi-Annual Other <br />Audit period: Non Auditable Unless indicated by Annual Semi-Annual Other <br />If you cancel this policy, we shall receive and retain not less than $ as a policy minimum <br />premium. <br />473-1102 1108 <br />COMMERCIAL UMBRELLA POLICY <br />THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS AND COVERAGE <br />FORM(S) COMPLETE THE BELOW NUMBERED POLICY <br />RENEWAL OF POLICY <br />OZ6-H175809-03 <br />CHAPEL HILL - CARRBORO CHAMBER <br />OF COMMERCE <br />104 S. ESTES DRIVE STE 102 <br />CHAPEL HILL, NC 27514 <br />190290900 <br />TITAN RISK CONSULTANTS <br />107 CONNER DR STE 225 <br />CHAPEL HILL, NC 27514 <br /> <br />01/05/2023 01/05/2024 <br /> X <br /> <br /> 2,000,000 <br /> 2,000,000 <br /> 2,000,000 <br /> 1,025.00 <br /> 1,025.00 <br /> <br /> <br /> X <br /> <br />OFFICE. <br /> <br />DocuSign Envelope ID: 0394510E-E3BC-41FC-9E39-4912EB106E3B