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Processed on: 08/14/2023 68 <br />Insured name:PEE WEE HOMES <br />Policy number:Q61 0141888 <br />Policy period:10/26/2023 to 10/26/2024 Page 6 of 8 <br />Schedule of Forms -(continued) <br />Form number Edition date Description <br />EPP4000NC 10/19 ErieSecure Business Policy -North Carolina <br />EPP4001 10/19 Amendment ofMobileEquipmentDefinition <br />EPP4006 10/19 Coverage for Punitive Damages <br />EPP5003 08/23 *ImportantNotice to Policyholders -ErieSecure Business -Summary of Changes <br />EPP5005 09/23 *ImportantNotice -ErieSecure Business Form Changes -Summary of Changes <br />IL952A 03/21 Cap on Losses fromCertifiedActsofTerrorism <br />IL985H 03/21 * Disclosure Pursuantto Terrorism Risk Insurance Act <br />DocuSign Envelope ID: F0173FA0-7E4E-4268-804F-F1D567D87EB7DocuSign Envelope ID: 2470B4D3-16AA-49CA-B55A-C3624B96715F