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DocuSign Envelope ID: 72574FBA-38BB-482F-A711-18C4CFEC2EDF <br /> Berkley Insurance Co�mpany <br /> Declarations Page <br /> Berkley - US ExecSuite Policy for Directors & Officers (Private Company) <br /> Employment Practices Liability <br /> CLAIM'S MADE WARNING FOR DECLARATION: THIS POLICY PROVIDES COVERAGE ON A CLAIMS MADE AND REPORTED <br /> BASIS SUBJECT TO ITS TERMS, THIS POLICY APPLIES ONLY TO ANY CLAIM FIRST MADE AGAINST THE INSUREDS AND <br /> REPORTED TO THE INSURER DURING THE POLICY PERIOD OR ANY EXTENDED REPORTING PERIOD THAT MAY APPLY. <br /> PLEASE READ AND REVIEW THE POLICY CAREFULLY AND DISCUSS THE COVERAGE WITHI YOUR INSURANCE AGENT OR <br /> BROKER. <br /> Whenever printed in this Declarations Page,the boldface type terms shall have the same meanings as indicated in the Pollicy. <br /> Item 1. Name and Address of Named Insured- Policy Number: 1287292 <br /> Raleigh Pathology Laboratory Associates, PA <br /> P.O. Box 14045 <br /> Raleigh, NC 27620 <br /> NORTH CAROLINA NOTICE <br /> Person designated to receive all correspondence from the DEFENSE COSTS ARE WITHIN THE POLICY <br /> linsurer: LIMITS READ YOUR POLICY CAREFULLY <br /> John Lawlor <br /> Chief Financial Officer <br /> Item 2. Policy Period: From June 15,2014(inception date)to June 15,2015(expiration date) <br /> (Both dates at 12:01 a.m. Standard Time at the address of the Named Insured) <br /> Item 3. Coverage Sections: Purchased Included in Policy Aggregate <br /> Limit <br /> Directors, Officers and Corporate Liability Insurance: Yes 11 No 11 Yes ®No <br /> Employment Practices Liability Insurance: IK Yes DNo ❑Yes MX No <br /> Fiduciary Liability insurance: ❑Yes X No 0 Yes X No <br /> Item 4. Limits of Liability for the Policy Period <br /> A. Policy Aggregate Limit of Liability for all Coverage Sections <br /> purchased as indicated above. (inclusive of Damages and Costs of Defense): Not Applicable <br /> B. Separate Aggregate Limit of Liability for each Coverage Section <br /> purchased as indicated above(inclusive of Damages and Costs of Defense): <br /> 1. Directors, Officers and Corporate Liability Insurance: $1,000,000 <br /> 2. Employment Practices Liability Insurance: $1,000,000 <br /> 3. Fiduciary Liability Insurance: Not Applicable <br /> Item 5. Deductibles: <br /> 1. Directors, Officers and Corporate Liability Insurance: <br /> A. Individual Non-indemnifiable: $0 <br /> B. Individual Indemnifiable: $10,000 <br /> C. Corporate Liability: $10,000 <br /> 2. Employment Practices Liability Insurance: $10,000 <br /> 3. Fiduciary Liability Insurance: Not Applicable <br /> Item 6. Premium: <br /> DEC 32401 (05-13) 1287292 Raleigh Pathology Laboratory Associates, PA Page 1 of 2 <br />