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DocuSign Envelope ID:897E46E3-FA01-48C0-AD59-05BF8E64A105 <br /> Policy Number: ACP BAFB 22-6-4894216 <br /> Item Three —Schedule of Covered Autos You Own <br /> Vehicle Description VIN Number Class Code <br /> 014 2007 CHEVROLET 1GCFG15X871187283 0148900 <br /> EXPRESS VAN <br /> Garaging Location Premises ID Territ ry <br /> 1503 AUTUMN RIDGE DR <br /> DURHAM, NC 27712-2682 00114 <br /> Coverage Limit of Insurance Deductible Premium <br /> LIABILITY See CA9927 276.00 <br /> LIABILITY PROPERTY DAMAGE See CA9927 1 240.00 <br /> MEDICAL PAYMENTS See Item Two 114.00 <br /> UNINSURED MOTORISTS See CA2107 Included <br /> - PROPERTY DAMAGE <br /> Estimated Vehicle Premium (Commission 15.00%) $ 1 630.00 <br /> Vehicle Description VIN Number Class Code <br /> 015 2010 CHEVROLET 1GCZGFAA6A1115842 0148900 <br /> EXPRESS <br /> Garaging Location Premises ID Territ 1 ry <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 /> 016 2015 CHEVROLET 1GNSKCKC7FR665839 0348900 <br /> TAHOE <br /> Garaging Location Premises ID Territ ry <br /> 1503 AUTUMN RIDGE DR <br /> DURHAM, NC 27712-2682 001 s <br /> Coverage Limit of Insurance Deductible Premium <br /> LIABILITY See CA9927 364.00 <br /> LIABILITY PROPERTY DAMAGE See CA9927 316.00 <br /> MEDICAL PAYMENTS See Item Two 114.00 <br /> UNINSURED MOTORISTS See CA2107 Included <br /> - PROPERTY DAMAGE <br /> Estimated Vehicle Premium (Commission 15.00%) $ 794.00 <br /> II <br /> PVDECVS 11-1000 <br /> DIRECT BILL L734 2017067 AGENT COPY ACP BAFB2264894216 981503132 35 0008581 <br />