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DocuSign Envelope ID:3F1D7CF6-245A-4714-B5DB-30373A05897A COMMERCIAL PACKAGE POLICY <br /> BUILDERS PREMIER INSURANCE CO. FORM INVENTORY SCHEDULE <br /> Post Once Box 150005 Policy Number: PCP 0000055 10 <br /> Raleigh, North Carolina 27624-0005 Named Insured: BROWN BROTHERS PLUMBING <br /> Agent: 01UERSIRED INSURANCE SOLUTION 0000443 <br /> POLICY FORMS SCHEDULE <br /> Policy Level Forms <br /> Commercial Fire Forms <br /> CP0010 (04/02) CP0030 (04/02) CP0090 (07/88) CP0116 (10/00) CP1030 (04/02) <br /> CP1218 (06/b5) EM0001 (07/08) 1L0003 (07/02) IL0017 (11/98) IL0269 (07/02) <br /> IL0935 (07/02) IL0952 (01/15) IL0995 (01/07) IL6006 (01/10) IL6014 (01/16) <br /> PIL002ONC (07/04) <br /> General Liability Forms <br /> CG0001 (04/13) CCO300 (01/96) CG2001 (04/13) CG2010 (04/13) CG2032 (04/13) <br /> CC2037 (04/13) CG2C38 (04/13) CG2106 (05/14) CG2109 (06/15) CG2147 (12/07) <br /> CG2149 (09/99) CG2154 (01/96) CC2167 (12/04) CG2170 (01/15) CG2186 (12/04) <br /> CG2187 (01/15) CG2196 (03/05) CG2294 (10/01) CG2404 (05/09) CG2503 (05/09) <br /> CG2504 (05/09) CG7024 (03/09) CG7030 (07/09) CG7031 (07/09) CG7C32 (07/09) <br /> CC7034 (07/09) CG7051 (06/15) IL0003 (09/08) IL0017 (11/98) IL0021 (09/08) <br /> IL0269 (09/08) IL1201 (11/85) IL6006 (01/10) <br /> Inland Marine Forms <br /> CM0001 (06/95) CM0103 (11/85) IL0003 (04/98) I1,0017 (11/98) IL0269 (04/98) <br /> IL0935 (08/98) IL0952 (01/15) IL0995 (01/07) IL1201 (11/85) PCM0018 (10/99) <br /> PCM0023 (03/02) PCM0042 (07/04) <br /> issued Date: 11/01/2018 <br /> 5CHEE) 0695 INSURED COPY Page 2S of 29 <br />