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DocuSign Envelope ID: C9AF5D7E-E8F1-4FC2-8917-EA301453E701 <br /> `nIE <br /> MAN PolicylNumber: MPU1371P <br /> ST R F El <br /> AMERICA <br /> GROLT SCHEDULE OF FORMS,AND ENDORSEMENTS <br /> MAIN STREET AMERICA ASSURANCE COMPANY <br /> Named Insured: ELOY ALVAREZ Effective Date: 04-02-201.5 <br /> Agent Name: NORTHEAST AGENCIES INC CL SC Agent No. 31.4:72 6 <br /> Endorswent Number:004 Endorsement Effecfive Date: 05-19-15 <br /> PROPERTY AND LIABILITY FORMS AND ENDORSEMENTS <br /> �BPM S FORMS 12-07 SCHEDULE OF FORMS AND ENDORSEMENTS <br /> BPM S Al 12-07 ADDITIONAL INSURED SCHEDULE <br /> BP 04 52 0106 AI-STATE OR POLITICA1, SUL BDIV-PERMITS <br /> FORM-SCHED 1207' <br /> INSURED COPY <br />