Orange County NC Website
Form_SCTNID_CTGRY.XX0108ACORD101_ACORD <br /><docindex><index>ACORD</index></docindex> BDF_PCA <br />Brown-Phillips Insurance <br />05786709 <br />Progressive Southeastern Insurance Company 38784 <br />PRONET SYSTEMS INC <br />3200 GLEN ROYAL RD STE 107 <br />RALEIGH, NC 27617 <br />01/03/2024 <br />AGENCY CUSTOMER ID: <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />NAMED INSURED <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:25 FORM TITLE:Certificate of Liability Insurance <br />1 1 <br />Additional Coverages <br />Insurance coverage(s) Limits…………………………………………………………………………………………………………………………………………………………………………………… <br />Uninsured/Underinsured Motorist $1,000,000 Combined Single Limit …………………………………………………………………………………………………………………………………………………………………………………… <br />Uninsured Motorist Property Damage (included in combined single limit w/$100 Ded) <br />Description of Location/Vehicles/Special Items <br />Scheduled autos only…………………………………………………………………………………………………………………………………………………………………………………… <br />2006 FORD 1FTRF12WX6NA28557F150 <br />Collision $1,000 Ded <br />Comprehensive $500 Ded …………………………………………………………………………………………………………………………………………………………………………………… <br />2014 JEEP 1C4RJFCG7EC272289GRAND CHEROKEE <br />Collision $1,000 Ded <br />Comprehensive $500 Ded …………………………………………………………………………………………………………………………………………………………………………………… <br />2017 FORD 1FTYR2YG3HKA41115T-250 TRANSIT V <br />Collision $1,000 Ded <br />Comprehensive $500 Ded …………………………………………………………………………………………………………………………………………………………………………………… <br />2007 FORD 1FTNE14W37DB26903ECONO/CLUB WGN <br />Collision $1,000 Ded <br />Comprehensive $500 Ded …………………………………………………………………………………………………………………………………………………………………………………… <br />2019 JEEP 1C4RJFAG2KC565077GRAND CHEROKEE <br />Collision $1,000 Ded <br />Comprehensive $500 Ded <br />Liability coverage may not apply to all scheduled vehicles. <br />Additional Information <br />Certificate holder is listed as an Additional Insured. <br />ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />DocuSign Envelope ID: D79ABA54-35FD-4E42-BBC0-8C90F9457272