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DocuSign Envelope ID: 72574FBA-38BB-482F-A711-18C4CFEC2EDF <br /> Item 10, Policy form P1818CE-0912 and Application form dated July 9, 2014 are hereby attached and made a part of <br /> this Policy. Wherever in any of the forms, clauses or conditions of this insurance the word "Policy" <br /> appears,this shall be deemed to be "Certificate", <br /> Insurance is effected with certain UNDERWRITERS AT LLOYD'S, LONDON (100%) <br /> Item 11, Service of Suit: <br /> Mendes& Mount, LLP <br /> 750 Seventh Avenue <br /> New York, NY 10019-6829 <br /> Dated August 18, 2014 NAS INSURANCE SERVICES, LLC <br /> By: <br /> CorresLon dent <br /> D1818CE-0912 Page 3 of 3 <br />