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Spectrum Supplemental Schedule of Auditable Coverages <br />REVISED <br />~ <br />~ <br />~ <br />M <br />0 <br />This schedule reflects only those locations that have classes and/or coverages that are subject to audit. <br />Policy Number: 14 SBM ZF3455 <br />Entries herein, except as specifically provided elsewhere in this policy, do not modify any of the other <br />provisions of this policy. <br />LOC/BLDG NO: <br />LOCATION: <br />001/001 TERR: 111 <br />4021 BELLA PARK TRAIL <br />RALEIGH NC 27613 <br />ri <br />~ <br />M <br />O <br />~ <br />~ <br />a~ <br />~ <br />w <br />N <br />~ <br />r-I <br />0 <br />0 <br />0 <br />~ <br />0 <br />~ <br />~ <br />CLASSIFICATION CODE NLJMBER 20351 <br />DESCRIPTION: <br />Fruits & Vegetables - Pickled, Sauces, Seasonings Manufacturing <br />COVERAGE DESCRIPTION: PREMISES/OPERATIONS COVERAGE <br />REFER TO: BUSINESS LIABILITY COVERAGE PART FORM SS 00 OS <br />RATING BASIS: SALES PER 1000 <br />EXPOSURE: <br />FINAL RATE: <br />NO CHANGE IN PREMIUM <br />COVERAGE DESCRIPTION: <br />REFER TO: <br />RATING BASIS: <br />EXPOSURE: <br />FINAL RATE: <br />ADDITIONAL PREMIUM: <br />7,725 <br />0.129 <br />$0.00 <br />PRODUCTS/COMPLETED OPERATIONS COVERAGE <br />BUSINESS LIABILITY COVERAGE PART FORM SS 00 08 <br />SALES PER 1000 <br />7,725 <br />2.201 <br />$2.00 <br />TOTAL ADDITIONAL PREMIUM $2.00 DOES NOT INCLUDE TERRORISM OR <br />FOR AUDITABLE COVERAGES ANY APPLICABLE STATE SURCHARGES OR FEES OR <br />MINIMUM PREMIUMS <br />Form SS 00 38 04 04T <br />Process Date: 02/2~/i2 <br />Page ool <br />Policy Expiration Date: 02/18/13 <br />