Orange County NC Website
Policy No. SM- 888119 <br />7. DEDUCTIBLE: <br />1. For Professional Liability: <br />A. Each Claim. $ 51000 <br />11. For General Liability: <br />A. For Coverage A. (Bodily Injury and Property Damage Liability): <br />Each Occurrence: $ 51000 <br />B. For Coverage B. (Personal Injury and Advertising Injury Liability): <br />Each Person or Organization: $ 5,000 <br />8. RETROACTIVE DATE: <br />1. For Professional Liability: July 13, 2005 <br />11. For General Liability: July 13, 2005 <br />9. RATE: Flat <br />PREMIUM BASE: Flat <br />10. PREMIUM FOR POLICY PERIOD: <br />Minimum $ 41500.00 <br />Deposit $ 4,500.00 <br />1 1 . PREMIUM FOR EXTENDED REPORTING PERIOD: <br />150% for 12 months; 175% for 24 months; or 200% for 36 months <br />12. The Insured is not a proprietor, superintendent, executive officer, director, partner, trustee or <br />employee of any hospital, sanitarium, clinic with bed - and -board facilities, laboratory, or any <br />business enterprise not named in Item 1. hereinabove, except as follows: <br />None <br />13. ENDORSEMENTS ATTACHED AT POLICY INCEPTION: <br />1, EIC 4115-01 25% Minimum Earned Premium Endorsement <br />2. EIC 832 -01 Asbestos Exclusion <br />3. ZZ- 44002 -01 Mold Exclusion <br />4. MEIL 5229 09 10 Longer Duration Extended Reporting Period Availability <br />5. EIC 4638 -02 Certified Acts of Terrorism Endorsement <br />6. MEIL 5410 02 12 Amendment of Definitions and Exclusions - Electronic Data and Distribution of <br />Material in Violation of Statutes <br />7. MEIL 1313 02 12 Amendment of Definitions and Exclusions - Electronic Data and Distribution of <br />Material in Violation of Statutes <br />8. MESM 2034 04 11 DataBreach Coverage Parts Endorsement <br />9. EIC 4661 Additional Insured Endorsement for Landlords, Sponsors or Lessors <br />2nmv nlpl�h`n (�Il.�ucu'�-5`�la�'RI <br />Page 2 <br />21 <br />A5- DO 0 7c' 0,' -, <br />