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DocuSign Envelope ID:484DA2FF-FF69-4942-ABET-1C7B9FE1C133 <br /> BUILDERS PREMIER INSURANCE CO. FORM INVENTORY EINTORY PACKAGE POLICY <br /> Post Office Box 150005 <br /> Raleigh,North Carolina 27624-0005 Policy Number: PCP 0000055 12 <br /> Named Insured: BROWN BROTHERS PLUMBING <br /> Agent: DIVERSIFIED INSURANCE SOLUTION 0000443 <br /> Policy Level Forms POLICY FORMS SCHEDULE <br /> Commercial Fire Forms <br /> CP0010 (04/02) CP0030 (04/02) CP0090 <br /> CP1218 (06/95) CP9903 (07/88) CPO116 (10/00) CP1030 (04/02)(12/19) EM0001 IL0269 (07/08) IL0003 (07/02) IL0017 (11/98) <br /> (07/02) IL0935 (07/02) IL0952 <br /> IL6014 (01/16) PIL002ONC (07/04) (O1/15) IL0995 (01/07) IL6006 (01/10) <br /> General Liability Forms <br /> CG0001 (04/13) CG0300 (01/96) CG2001 (04/13) CG2010 <br /> CG2037 (04/13) CG2038 (04/13) CG2106 (06/15) CG2147 (12/07) <br /> CG2149 (09/99) CG2154 (05/14) CG2109 (06/15) CG2147 (12/07) <br /> (01/96) CG2167 (12/04) CG2170 (01/15) CG2186 (12/04) <br /> CG2187 (01/15) CG2196 (03/05) CG2294 <br /> CG2504 (05/09) CG7024 (10/O1) CG2404 (05/09) CG2503 (05/09) <br /> (03/09) CG7030 (07/09) CG7031 (07/09) CG7032 (07/09) <br /> CG7034 (07/09) CG7051 (06/15.) CG7110 <br /> IL0017 (11/98) IL0021 (09/08) IL1201 (10/17) IL0003 (09/OB) <br /> Inland Marine Forms (09/08) IL0269 (09/08) IL1201 (11/85) IL6006 (01/10) <br /> CM0001 (06/95) CM0103 (11/85) CM9905 (12/19) IL0003 <br /> IL026 3 (04/98) IL0935 (08/98) IL0952 (01/15) IL0995 (01/077) PCM0018 (10/99) <br /> (03/02) PCM0042 (07/04) <br /> Issued Date: 12/18/2020 <br /> SCHED 0696 <br /> INSURED COPY Page 38 of 38 <br />