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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 /> 017 2009 CHEVROLET 1GCCS199X98100670 0348900 <br /> COLORADO TRUCK <br /> Garaging Location Premises ID Territory <br /> 4301 BENNETT MEMORIAL RD <br /> DURHAM, NC 27705-2305 001$ <br /> i• <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 I <br /> Estimated Vehicle Premium (Commission 15.00%) $ 794.00 <br /> Vehicle Description VIN Number Class Code <br /> 019 2016 FORD 1FDUF5GT1GEA30243 2348900 <br /> 550 <br /> Garaging Location Premises ID Territory <br /> 4301 BENNETT MEMORIAL RD <br /> DURHAM, NC 27705-2305 0013 <br /> , <br /> Coverage Limit of Insurance Deductible Premium <br /> LIABILITY See Cf9927 393.00 <br /> LIABILITY PROPERTY DAMAGE See CA9927 341.00 <br /> MEDICAL PAYMENTS See Item Two I 114.00 <br /> UNINSURED MOTORISTS See CA2107 ! Included <br /> - PROPERTY DAMAGE <br /> Estimated Vehicle Premium (Commission 15.00%) $ 848.00 <br /> Vehicle Description VIN Number Class Code <br /> 020 2004 CHEVROLET 1GCGG25U641134254 0348900 <br /> VAN <br /> Garaging Location Premises ID Territory <br /> 1503 AUTUMN RIDGE DR <br /> DURHAM, NC 27712-2682 001$ <br /> Coverage Limit of Insurance Deductible Premium <br /> LIABILITY See CA9927 364.00 <br /> LIABILITY PROPERTY DAMAGE See CF 9927 316.00 <br /> MEDICAL PAYMENTS See I t c m Two 114.00 <br /> UNINSURED MOTORISTS See CA2107 Included <br /> - PROPERTY DAMAGE <br /> Estimated Vehicle Premium (Commission 15.00%) $ 794.00 <br /> I <br /> C <br /> PVDECVS 11-10 I <br /> 00 <br /> DIRECT BILL L734 2017067 AGENT COPY I,CP BAFB2264894216 981503132 35 0008582 <br /> I <br />