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BUILDERS PREMIER INSURANCIE CO.Post Office Box 150OO5 <br />Raleigh, North Carolina 27624_cic,0' <br />Policy Level Forms <br />Commercial Fire FormscPo010 (o+1s21cP1218 (oe/951rL0269 (oz 1s2)rL50L4 (ot/1,6) <br />General Liability Formsceo001 (04/t3)ce2o37 (o+1131 <br />cc2r49 (og/gg)cc21_87 ( orlrs )cG2s04 (os/os)ce7034 (07 /09 )IL0017 (L1,/s8) <br />Inland Marine FormscMo00L (06/ss)rLo259 (o+/9s1 <br />PCMo023 (os/oz) <br />POLIICY FORMS SGHEDULE <br />cPo03 O (04/ o2t,) <br />CP9903 (i) /i al\__a +J IILo93s (ot /s2)PrL002oNc (ot /sa1 <br />ceo300 (ot/e6) <br />cc203 I (04/:.3)cc2Ls4 (ot1s51cc2!s6 (E/os)ce7024 (ot/se1cc70s1 (0e1157 <br />rL0 02 L (og / oet <br />cMo103 <br />TT.n o2 tr <br />PCMo042 <br />(ot /ss) cPo118 <br />(07 /08) rl,ooo3 <br />( orlrs ) rloees <br />(o+113 ) cezoro(05/74) cczrog(t2/04) Cc2L7o <br />(r0 / 0i,) ceT4o4 <br />(ot /og) cc7031(10/171 cG7!37(og/oe) rL12o1 <br />(t21191 rl.ooo3(0t1151 rl.oegs <br />cPo090 <br />EMo001 <br />ILo 952 <br />cc2001 <br />cG2106 <br />cG2!67 <br />cG2294 <br />cG703 0 <br />L9 / TIU <br />ILO269 <br />(10/sq1 <br />(ot I s21 <br />(oL/ ot) <br />(04 / t3) <br />\vo/J_5, <br />In1 ,/1tr\ <br />(os / oe) <br />(ot 7 se1 <br />(1n/11\ <br />(1rls51 <br />(o+ / es1 <br />(ot/s71 <br />cP1030 <br />I!UUJ. / <br />rL5006 <br />cG2032 <br />'wz!+ I <br />cG2186 <br />cc2503 <br />cG7032 <br />rL0 0 03 <br />IL6005 <br />rl,o017 <br />PCMo018 <br />(o+ 1 s21 <br />\lLl>aj) <br />(ot 1 1s1 <br />(04 / t3) <br />Itz1s71 <br />(!2 / 04) <br />( osTee I <br />(ot 1 se1 <br />( osTes 1 <br />(orl1s1 <br />(t t1es1 <br />(r0 / ee) <br />fssued Date: 12l19 /ZOZOscHED 0696 <br />(rt/951 cM990s(Ae/ga) rr,ogsz <br />(ot / s41 <br />Policy Number: pcp ooooo55 12 <br />Named Insured: enowN enorHERS pLUMBING <br />Agent: oveRsrrreo rrusuRANCE soLUTtoN <br />TNSURED COPY Page 38 of 38 <br />DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137