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DocuSign Envelope ID:897E46E3-FA01-48C0-AD59-05BF8E64A105 <br /> II <br /> Policy Number: ACP BAFB 22-6-4894216 <br /> Item Three —Schedule of Covered Autos You Own <br /> Vehicle Description VIN Number Class Code Original' Cost New <br /> 002 1995 FORD 1FBJS31H8SHA99633 0148900 23,98 <br /> SUPER CLUB <br /> Garaging Location Premises ID Territory <br /> 4301 BENNETT MEMORIAL RD <br /> DURHAM, NC 27705-2305 001'3 <br /> Coverage Limit of Insurance Deductible Premium <br /> LIABILITY See CA9927 276.00 <br /> LIABILITY PROPERTY DAMAGE See CA9927 240.00 <br /> MEDICAL PAYMENTS See Item Two 114.00 <br /> UNINSURED MOTORISTS See CA2107 Included <br /> - PROPERTY DAMAGE <br /> Estimated Vehicle Premium (Commission 15.00%) $ 630.00 <br /> Vehicle Description VIN Number Class Code Original', Cost New <br /> 003 2006 CHEVROLET 1GCGG29V161244702 0148900 25,000 <br /> EXPRESS <br /> Garaging Location Premises ID Territory <br /> 4301 BENNETT MEMORIAL RD <br /> DURHAM, NC 27705-2305 001) <br /> Coverage Limit of Insurance Deductible Premium <br /> LIABILITY See CA9927 276.00 <br /> LIABILITY PROPERTY DAMAGE See CA9927 240.00 <br /> MEDICAL PAYMENTS See Item Two 114.00 <br /> UNINSURED MOTORISTS See CA2107 Included <br /> - PROPERTY DAMAGE <br /> Estimated Vehicle Premium (Commission 15.00%) $ 630.00 <br /> Vehicle Description VIN Number Class Code <br /> 008 1999 FORD 3FENF80C7XMA19608 3347900 <br /> F800 DUMP TRUCK <br /> Garaging Location Premises ID Territ ry <br /> 4301 BENNETT MEMORIAL RD <br /> DURHAM, NC 27705-2305 00113 <br /> Coverage Limit of Insurance Deductible Premium <br /> LIABILITY See CA9927 393.00 <br /> LIABILITY PROPERTY DAMAGE See CA9927 341.00 <br /> MEDICAL PAYMENTS See Item Two 114.00 <br /> UNINSURED MOTORISTS See CA2107 Included <br /> - PROPERTY DAMAGE <br /> Estimated Vehicle Premium (Commission 15.00%) $ 1 848.00 <br /> R <br /> PVDECVS 11-10 00 <br /> DIRECT BILL L734 2017067 AGENT COPY ACP BAFB2264894216 981503132 35 0008579 <br />