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DocuSign Envelope ID:DF078B63-CCED-42B9-8016-A67D8F6DF779 <br /> Raleigh, North Carolina 27624-0005 BUSINESS AUTO DECLARATION <br /> (800)809-4859 <br /> Policy Number From <br /> Period <br /> ® Builders Premier Insurance Company <br /> ❑ Builders Mutual Insurance Company PCA 0006942 11 12/31/2021 12/31/2022 <br /> W Policy No: 12:01 A.M.Standard Time at the described location <br /> Transaction <br /> RENEWAL DECLARATION Customer#: <br /> Named Insured and Address <br /> BROWN BROTHERS PLUMBING DIVERSIFIED INSURANCE SOLUTION <br /> & HEATING CO INC PO BOX 15734 <br /> PO BOX 15668 DURHAM, NC 27704-5734 <br /> DURHAM NC 27704 <br /> Telephone: 919-471-8222 0000443 <br /> Business Description Type of Business <br /> ARTISAN - PLUMBER Corporation <br /> ENDORSEMENTS ATTACHED TO THIS POLICY: <br /> IL0003 (09/08) IL0017 (11/98) IL0021 (09/08) BCA0444 (08/14) CA0001 (10/13) <br /> CA0126 (10/13) CA2048 (10/13) CA2116 (10/13) CA2344 (11/16) CA3000 (07/14) <br /> CA9903 (10/13) CA9954 (10/13) CAU060 (02/10) IL1201 (11/85) IL6006 (01/10) <br /> Countersigned this Day of <br /> Authorized Repr sentative <br /> Issued Date: 11/29/2021 <br /> PCA00011203 INSURED COPY Page 1 of 41 <br />