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JJ1089 <br />Mailing name and address for Insured <br />Other Interest <br />As listed under Schedule of Other Interests <br />Erie Insurance Company <br />NAICCode 26263 <br />Coverage provided by <br />Erie Insurance Company <br />100 Erie Insurance Place Erie, PA 16530 <br />erieinsurance.com <br />Processed on: 08/14/2023 CONTINUEDONNEXT PAGE 28 <br />ErieSecure Business™Policy Declarations <br />Renewal Certificate -Coinsurance Contract <br />PEE WEE HOMES <br />PO BOX 17102 <br />CHAPEL HILL NC 27516-7102 <br />Named Insured’s full name <br />PEE WEE HOMES <br />Legal entity <br />Corporation <br />Agent Policyperiod Policy number <br />JJ1089 THE SORGI INSURANCE AGENCYINC 10/26/2023 to 10/26/2024 Q61 0141888 <br />Agent address and phone <br />THE SORGI INSURANCE AGENCYINC <br />16 CONSULTANT PLSTE102 <br />DURHAM,NC 27707 <br />Policy period begins at 12:01 A.M. standard time <br />on the effectiv e date and ends at 12:01 A.M. <br />standard time on the expiration date.Standard <br />time is determined at the stated address of the <br />Named Insured. <br />Agency email address <br />info@sorgiinsurance.com <br />Agency website <br />http://www.sorgiinsurance.com <br />The insuranceapplies to those premises described below. This is subjecttoallapplicable terms of the policy and <br />attached forms and endorsements. <br />Policy Discounts <br />Loyalty discount <br />Payment plan <br />Premium Summary <br />Total net premium:$1,458 <br />Final premium:$1,458.00 <br />(This is not a bill. Your inv oice will follow in a separate mailing.) <br />DocuSign Envelope ID: F0173FA0-7E4E-4268-804F-F1D567D87EB7