Orange County NC Website
Browse       Search
CC-1K11k (04/22) <br />SIGNATURES <br />Named Insured <br />Katrina Kuzyszyn-Jones <br />Endorsement Number <br />Policy Symbol <br />CRL <br />Policy Number <br />78G27815467 <br />Policy Period <br />05/02/2023 to 05/02/2024 <br />Effective Date <br />05/02/2023 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />THE ONLY COMPANY APPLICABLE TO THIS POLICY IS THE COMPANY NAMED ON THE FIRST <br />PAGE OF THE DECLARATIONS. <br />By signing and delivering the policy to you, we state that it is a valid contract. <br />INDEMNITY INSURANCE COMPANY OF NORTH AMERICA(A stock company) <br />BANKERS STANDARD INSURANCE COMPANY(A stock company) <br />ACE AMERICAN INSURANCE COMPANY(A stock company) <br />ACE PROPERTY AND CASUALTY INSURANCE COMPANY(A stock company) <br />INSURANCE COMPANY OF NORTH AMERICA(A stock company) <br />PACIFIC EMPLOYERS INSURANCE COMPANY(A stock company) <br />ACE FIRE UNDERWRITERS INSURANCE COMPANY(A stock company) <br />WESTCHESTER FIRE INSURANCE COMPANY(A stock company) <br />436 Walnut Street, P.O. Box 1000, Philadelphia, Pennsylvania 19106-3703 <br />__ <br />BRANDON PEENE, Secretary JOHN J. LUPICA,President <br />_________________________________ <br />Authorized Representative <br />DocuSign Envelope ID: ACEF8EF9-2EFA-4F7D-B215-CAC4F234E1F6