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ACORD INSURANCE BINDER OP ID Bw <br />DATE <br />DEDUCTIBLE <br />12/,02/99 <br />THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE <br />CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM;, <br />PRODUCER 19-941-0549 <br />COMPANY <br />. <br />BINDER <br />2�3 <br />919- 941 -0135 <br />Penn. Natl.. Mutual Cas. Co. <br />First Insurance Services, Inc. <br />P. 0. BOX 13687 <br />RTP NC 27709 <br />EFFECTIVE <br />DATE <br />TIME <br />DATE <br />TIME <br />11/15/99 <br />FIRE DAMAGE (Any one fire) <br />$XXX <br />AM <br />PM <br />07/22/00 <br />$ XXX <br />12:01 AM <br />NOON <br />PERSONAL & ADV INJURY <br />$ XXX <br />X <br />THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br />PER EXPIRING POLICY #: 9000068069 <br />$ XXX <br />CODE: 21- 610 5 SUB CODE: <br />CUSTOMER ID: PENDE — 2 <br />DESCRIPTION OF OPERATIONSNEHICLES /PROPERTY (Including Location) <br />Re: Generator fit -up for Stanford Middle <br />School, Hillsborough, NC <br />INSUREDpENDERGRAPH ELECTRIC, INC. & COUNTY OF <br />ORANGE PURCHASING & CENTRAL SERVICES & ORANGE <br />COUNTY SCHOOLS, AND SUB - CONTRACTORS & SUB -SUB- <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />CONTRACTORS, ATIMA <br />COMBINED SINGLE LIMIT <br />P 0 BOX 11458 DURHAM NC 27703 <br />uuVmmmut0 I WM-, <br />TYPE OF INSURANCE <br />COVERAGEIFORMS <br />DEDUCTIBLE <br />COINS % <br />AMOUNT <br />PROPERTY CAUSES OF LOSS <br />IBASIC 7 BROAD F—] SPEC <br />X BUILDER'S RISK <br />"Direct Physical Loss" <br />subject to policy exclusion <br />and conditions. <br />1000 <br />N/A <br />46,250.00 <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE F—] OCCUR <br />RETRO DATE FOR CLAIMS MADE: <br />EACH OCCURRENCE <br />$ XXX <br />FIRE DAMAGE (Any one fire) <br />$XXX <br />MED EXP (Any one person) <br />$ XXX <br />PERSONAL & ADV INJURY <br />$ XXX <br />GENERAL AGGREGATE <br />$ XXX <br />PRODUCTS - COMP /OP AGG <br />$ XXX <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />$ XXX <br />BODILY INJURY (Per person) <br />$ XXX <br />BODILY INJURY (Per accident) <br />$ XXX <br />PROPERTY DAMAGE <br />$ XXX <br />MEDICAL PAYMENTS <br />$ XXX <br />PERSONAL INJURY PROT <br />$ XXX <br />UNINSURED MOTORIST <br />$ XXX <br />AUTO PHYSICAL DAMAGE DEDUCTIBLE <br />COLLISION: <br />OTHER THAN COL: <br />��ALL VEHICLES SCHEDULED VEHICLES <br />ACTUAL CASH VALUE <br />$ <br />STATED AMOUNT <br />OTHER <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ XXX <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT <br />$ XXX <br />AGGREGATE <br />$ XXX <br />EXCESS LIABILITY <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />RETRO DATE FOR CLAIMS MADE: <br />EACH OCCURRENCE <br />$ XXX <br />AGGREGATE <br />$ XXX <br />SELF - INSURED RETENTION <br />S XXX <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYER'S LIABILITY <br />WC STATUTORY LIMITS <br />E.L. EACH ACCIDENT <br />$ XXX <br />E,L. DISEASE - EA EMPLOYEE <br />_ <br />$ XXX <br />E.L. DISEASE - POLICY LIMIT <br />$ XXX <br />SPECIAL Cancellation Clause attached. <br />CONDITIONS/ <br />OTHER <br />COVERAGES <br />FEES <br />$ <br />TAXES <br />$ <br />ESTIMATED TOTAL PREMIUM <br />$ <br />114MMC at MULMItoa <br />INU I M. nvlrum I MIN 1 01 H 1 t Mlrumiv I lulu uN r:tVtKzjt Slut .. ACORD CORPORATION 1993 <br />MORTGAGEE ]77DDITIONAl_ <br />LOSS PAYEE <br />INSURED <br />LOAN # <br />AUTHORIZED REPF:3ENTATIVE <br />i'K, \-4 - ",Jz <br />INU I M. nvlrum I MIN 1 01 H 1 t Mlrumiv I lulu uN r:tVtKzjt Slut .. ACORD CORPORATION 1993 <br />