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Date 'Pre~axec~. <br />~~~e of Grou~• <br />-~-.-_~_ <br />l~aine aF Member : <br />Add-~_ <br />Fali~ Numb~r; <br />P l~c Per~vd <br />~f fecti~ve Date : <br />.~~r~a~s~rn~~~~ . <br />12/22/z41I ~ . . <br />~E_~~ . 5608418'7'7 <br />BUILDERS MUTUAL INSUR~,NC~ CO.' <br />~ROWN BRQTHER:S PI,iJ1~9EING ~ H~ATING CO I1~7C . <br />PO ~OX 15668 <br />~~HI's7 . 1~TC 2 7 7 p 4 <br />WCP 00~4355 (}3 . ' . <br />.: 12~31/ZOI1 to ZZ/3t/~OI2 <br />12/31JZ011 <br />Carxier ~~; 37354 <br />I1~TE1~T O~ E13DORSEM~NT (I1z73ICA~~ ONx,7~ OiV'E A.CT.xO~$ ~~R E1~TDORSE;M~NT) - <br />t' x ) ' ~H.P~].QGES TO WAZU~ <br />R OL'.SIIBROGATZ~N ~~HEDIILE- <br />INSTRUCTIONS': <br />~'or changes, indicat,e l~elow ~lxe name ox l Indical-e be],aw tize zxew name or address . . <br />address prior to endorsemen~L. ~acli a.re~ <br />on Llze le~t must Gorx~Spond with ~n i.tem ~ after change ox th~ name amd addxess of an <br />on khe right, ad,dition vx ,cTeleti.on. For deletions give <br />~ disposiCion, <br />~ ~ f <br />~ OODOZ BLP.W2GET WA~y$R <br />~ ~ gPP~~s ~o aL`!.. ~Qbs ~s req~,air~d by . <br />~ ~~ • written contract. • ~ - <br />~ ~ - 2820 N. Ii.o~bvro 7Rd. <br />I `:D'urb.am, NC 277~4 <br />. ~ . . , <br />I . <br />. ,,, . . <br />. ~ ~I . ' <br />~ . <br />~ . j. . <br />~~ i <br />. ~ <br />. . . ~ ~ . <br />. i <br />~~ <br />~ <br />. 1 ~ ~ . <br />t . <br />. ~ . . <br />A en~ : 4a3 - TXSON IN5[7F~tiiPTCE S~RVICES . ' ,` ~ <br />Ttequeslo~: ~?wHITAJ.C : <br />' STIiTfi Z1~ESUP.ED F'TLS` ' •AC,$NT LC' . . <br />