Orange County NC Website
ACORD,~INSURANCE BINDER °"~'~'"''"'°°""'"' <br />03/07/?.NS <br />THIS BMIDER IS A TEMPORARY MIS URANCE CONTRACT, SUBJ ECT TO THE CONDITIONS SHOW N ON THE REVERSE SIDE OF THIS FORK. <br />AMY tANPANY NrNOaes <br />Dsrfey-HNVer-Hswiea Travelers ~N307H35H8 <br />3741 Heaesa Drive o„~.~ .~ N9O~RA710N <br />Haler, HC Z7i08-73E4 Y6/~/ZN8 1Z:®i z '4A" SZ/is/8009 z ~2w AM <br />PM NOON <br />~~ 919)790-6415 No 919)7M-0428 <br />TENS BNdDER IS ISSUED TO EXTEND COVERAGE NV THE ABOVE NAKED COMPANY <br />Cpp@: HH567 gt~c~. PER EXPIRMG POLICY #. <br />~~ -- aa~e vwaa.' nraaaa oea ~aa~es seea=aaae., <br />Clancy A ~s Cwst>ACtieNt ~ Hers Hick - 1601 HNiaaka Hi. , Ciy:el Hill <br />!® H~ 876941 <br />Haleigk, NC 87611 <br />~sr.Fs <br />TweoFn+suRAN~ ccvNw-ar~owrs oNNxictetr caNSS•,c /1NAOtI1fi <br />r"~^' causESOFLOSS <br />BASIC ~ BROAD ®SPEC fliers Hisk - LIaNNi Yarfae Fnvt i, 7,354, <br /> <br /> EACH OCCURRENCE S <br /> COMMERCULL GENERAL LU4BILITY i <br /> CLAIMS MADE ~ OCCUR MED EXP M ane i <br /> PERSONAL d ADV NJJURY i <br /> GENERAL AGGREGATE i <br /> RETRO TE FOR CLAI MADE: - COMP/0P <br /> COMBWED SNJGLE LNyNT i <br /> ANY AUTO 80DILY Per <br /> ALL OWNED AUTOS BODN_Y IN.IURY Per aaident i <br /> SCHEDULED AUTOS PROPERTY DAMAGE <br /> HIRED A(JfOS MEDICAL PAYMENTS <br /> NON-OWNED AUTOS PERSONAL WURY PROT <br /> IR~ISURED <br /> <br />DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES CASH VAL <br /> ~~' S <br /> <br /> LT1Y <br /> ANY AUTO <br /> <br /> <br />NEXCESEiL1ANNLITY <br /> UMBRELLA FORM <br /> <br /> <br />71CN <br />A!~ <br /> <br />NaNNei Iassrei: Clams A ~s CsNNStractisa Ce asi All SNi aNNi <br />~ Sdi-SNNr Csatract~rs sai 0ra~e CsN:aty, HC <br />ccnlNN: <br />~ <br />MDRTC,M3EE ADDITIONAL NJSIAtED <br />LOAN <br />,-,~ 0~~:~~.. <br />fatty DFewasw~i/IAYIY <br />ACORD7b(2004/09) NOTE:IIIIIPORTANTSTATEINFORMATiONONREVERSESIt~ ~IACORDCORPORATIOFl1893,Z004 <br />