Orange County NC Website
LENDER'S LOSS PAYABLE <br />PHONEAGENCY COMPANY(A/C, No, Ext): <br />FAX E-MAIL <br />(A/C, No):ADDRESS: <br />SUB CODE: <br />AGENCY <br />CUSTOMER ID #: <br />INSURED LOAN NUMBER POLICY NUMBER <br />EFFECTIVE DATE EXPIRATION DATE <br />THIS REPLACES PRIOR EVIDENCE DATED: <br />LOCATION/DESCRIPTION <br />COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE <br />NAME AND ADDRESS <br />CONTINUED UNTIL <br />TERMINATED IF CHECKED <br />ADDITIONAL INSURED LOSS PAYEE <br />MORTGAGEE <br />LOAN # <br />PERILS INSURED BASIC BROAD SPECIAL <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />PROPERTY INFORMATION <br />COVERAGE INFORMATION <br />REMARKS (Including Special Conditions) <br />CANCELLATION <br />ADDITIONAL INTEREST <br />ACORD 27 (2016/03)© 1993-2015 ACORD CORPORATION. All rights reserved. <br />EVIDENCE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) <br />CODE: <br />AUTHORIZED REPRESENTATIVE <br />The ACORD name and logo are registered marks of ACORD <br />11/5/2024 <br />(877) 766-7981 <br />Brotherhood Mutual Insurance Company <br />6400 Brotherhood Way <br />P.O. Box 2227 <br />Ft. Wayne, IN 46801 <br />American Church Group of North Carolina, LLC <br />401 E Antietam St., Ste B <br />Hagerstown, MD 21740 <br />(877) 281-9040 <br />University Baptist Church <br />100 S Columbia St <br />Chapel Hill, NC 27514 <br />Loc # 1, Bldg # 1, 100 S Columbia St, Chapel Hill, NC 27514-3606, Church <br />Loc # 1, Bldg # 1 <br /> Building, Special (Including theft), Extended Value Replacement Cost $11,848,000 $12,500 <br />Proof of Coverage <br />JMCBEE <br />32M5A0407972 <br />12/16/2024 12/16/2025 <br />service@bitnerhenry.com <br />UNIVBAP-02 <br />Docusign Envelope ID: AE6B8652-DF6F-4A68-82FB-137C9C45C988