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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 />OP ID: ML <br />919-383-0442 <br />919-382-3378 <br />32037 <br />RECRE-1 <br />Recreation Factory Partners, LLC <br />DBA Triangle Sportsplex <br />101 Meadowlands Dr. <br />Hillsborough, NC 27278 <br />ETD 0468096 <br />12/15/2024 12/15/2025 <br />One Dan Kidd Drive <br />Hillsborough, NC 27278-8500 <br />6646 500 <br />Business Inc. with Extra Exp 156000 24 hrs <br />Excludes Equipment Breakdown <br />Coinsurance 80% <br />Special Form/Replacement Cost <br />X <br />Orange County <br />300 West Tryon St. <br />PO Box 8181 <br />Hillsborough, NC 27278 <br />04/22/2025 <br />Cincinnati Insurance Co <br />PO Box 145496 <br />Cincinnati, OH 45250-5496 <br />Premise 001 Building 001 <br />Bus. Personal Prop. <br />X <br />Cert. Holder <br />Insurance People of NC <br />P.O. Box 3006 <br />Durham, NC 27715 <br />Docusign Envelope ID: 177AA06A-30B4-42FF-A85A-78B5A7C51DBE