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DocuSign Envelope ID: 72574FBA-38BB-482F-A711-18C4CFEC2EDF <br /> Medical Mutual" <br /> d-"%7V'D A d"V A n"'F'VTd-%'&T A V TXT� <br /> I I Lnr�L3 <br /> �,j V Yx%�rviXJL�, "-1A""A-L1"I qtx-u 11 ff"T NI)ORSEMENT <br /> Name and Address of Insured: <br /> Raleigh Pathology Laboratory Associates PA <br /> PO Box 14045 <br /> Raleigh,NC 27620 <br /> Additional Interest Endorsement Covers: Raleigh Pathology Laboratory Associates PA <br /> Endorsement to Policy No: PGI 12061 <br /> Policy Effective Date: August 15, 2014 <br /> Endorsement Effective Date: August 15,2014 <br /> It is agreed that in Section I. INSURING AGREEMENT, Coverage B. Medical Practice and <br /> Non-Physician Employee Professional Liability is amended to include, <br /> as an Insured., the <br /> professional corporation named below, except that the Limits of Liability shown in the <br /> Declarations for Coverage B are shared by the Insured covered in Coverage B and the <br /> professional corporation named below: <br /> Wake Medical Lab Consultants Inc <br /> All other terms and conditions of the policy remain unchanged. <br /> Countersigned By: Date: June 25, 2014 <br /> Auth i ed Representative <br /> MEDICAL MUTUAL INSURANCE CONIPANY <br /> PE390INC(06/08) OF NORTH CAROLINA BRIDGI'C <br />