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DocuSign Envelope ID: 72574FBA-38BB-482F-A711-18C4CFEC2EDF
<br /> This Declaration Page is attached to and forms part of certificate provisions (Form SLC-3),
<br /> Previous No. 466703 Authority Ref. No. 51216PRWI41818 Certificate No. 473388
<br /> e-MD TM/MEDEFENSE T11 PLUS POLICY
<br /> THIS CERTIFICATE IS WRITTEN ON A CLAIMS-MIADE AND REPORTED BASIS. EXCEPT AS OTHERWISE
<br /> PROVIDED HEREIN, THIS POLICY COVERS ONLY CLAIMS FIRST MADE DURING THE POLICY PERIOD OR ANY
<br /> EXTENDED REPORTING PERIOD, IF APPLICABLE, AND REPORTED TO UNDERWRITERS NO LATER THAN
<br /> SIXTY (60) DAYS AFTER THE CLAIM IS FIRST MADE. ALL CLAIMS ARE SUBJECT TO THE APPLICABLE LIMITS
<br /> OF LIABILITY AND THE APPLICABLE RETENTION(S)� PLEASE NOTE THAT THE LIMITS OF LIABILITY FOR
<br /> NAMED COVERAGES 1, 11, 111 AND 'Will INCLUDE CLAIM EXPENSES. PLEASE REVIEW THE COVERAGE
<br /> AFFORDED UNDER THIS INSURANCE POLICY CAREFULLY AND DISCUSS THE COVERAGE HEREUNDER WITH
<br /> YOUR INSURANCE AGENT OR BROKER.
<br /> Item 1. Named Insured: Raleigh Pathology Laboratory Associates. P.A.; Wake Medical Laboratory Consultants,
<br /> Inc.
<br /> Principal Address: 3000 New Bern Ave,
<br /> Raleigh, NC 27610
<br /> Item 2. Policy Period: August 9, 2014 to August 9, 2015
<br /> both days at 12:01 am, standard time at the Principal Address stated in Item 1.
<br /> Item 3. Named Coverage(s) Purchased (0):
<br /> You have purchased some or all of the following Named Coverages. Only those Named Coverage(s)
<br /> that specify a Limit of Liability in Item 4, of this Declarations have been purchased. If a Named
<br /> Coverage has not been purchased that portion of this Policy is not applicable.
<br /> I. Multimedia Liability
<br /> Z 11, Security and Privacy Liability
<br /> E] Ill. Privacy Regulatory Defense and Penalties
<br /> Z Iv Privacy Breach Response Costs, Customer Notification Expenses, and Customer Support and
<br /> Credit Monitoring Expenses
<br /> Z V. Network Asset Protection
<br /> Z V1. Cyber Extortion
<br /> M VII, Cyber Terrorism
<br /> Z VIII. MEDEFENSE TM Plus
<br /> Item 4, Limits of Liability
<br /> A, Limits of Liability for Named Coverage(s) Purchased:
<br /> Each Claim Aggregate
<br /> i. Multimedia Liability $1,000,000.00 $1,000,000.00
<br /> i1. Security and Privacy Liability $1,000,000,00 $1,000,000.00
<br /> Ill, Privacy Regulatory Defense and Penalties $1,000,000.00 $1,000,000.00
<br /> IVa Privacy Breach Response Costs, Customer
<br /> Notification Expenses, and Customer Support
<br /> and Credit Monitoring Expenses $ 5100,000,00 $ 500,000.00
<br /> V. Network Asset Protection $ 250,000,00 $ 250,000,00
<br /> VI. Cyber Extortion $1'000'000.00 $1,000,000,00
<br /> VII. Cyber Terrorism $1,000,00.00 $1,000,000.00
<br /> VM. MEDEFENSETM Plus $1'000'000,00 $5,000,000,00
<br /> B. Maximum Policy Aggregate Limit of Liability: $5,000,000.00
<br /> D1818CE-0912 Page 1 of 3
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