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DocuSign Envelope ID: 72574FBA-38BB-482F-A711-18C4CFEC2EDF <br /> Previous Policy Ntunber Policy Ntunber <br /> S 1940885 1 r S 1940885 <br /> MERCHANTSPRO COVERAGE DECLARATIONS <br /> Policy Effective Date: JUNE 7, 2 014 Coverage Effective Date: JUNE 7, 2014 <br /> Named Insured is: CORPORATION <br /> Business of Named Insured: MEDICAL <br /> DESCRIPTION OF PREMISES <br /> Prem. Bldg. Location Occupancy <br /> No. No. <br /> Refer to"Schedule of Locations" <br /> In return for payment of the premium and subject to all the terms of this policy,we agree with you to provide <br /> insurance for those coverages for which a specific limit is shown in the following coverage schedule <br /> COVERAGE SCHEDULE <br /> P r o p e r t y Automatic <br /> Prem. Bldg. Blanket Increase In <br /> No. No. Coverage Limit of Insurance Insurance Deductible valuation Insurance <br /> 1 1 BUSINESS PERSONAL PROPERTY $284,913 EXCLUDED $5,000 RC N/A <br /> 2 1 BUSINESS PERSONAL PROPERTY $25,525 BLDG & BPP $5,000 RC N/A <br /> 3 1 BUSINESS PERSONAL PROPERTY $25,525 BLDG & BPP $5,000 RC N/A <br /> 4 1 BUSINESS PERSONAL PROPERTY $2,552 BLDG & BPP $5,000 RC N/A <br /> 5 1 BUSINESS PERSONAL PROPERTY $25,525 BLDG & BPP $5,000 RC N/A <br /> TOTAL BLANKET BPP & BLDG $79,127 <br /> LIABILITY AND MEDICAL PAYMENTS <br /> Liability and Nledical Expenses Limit $1,0 0 0,0 0 0 General Aggregate Limit $3,0 0 0,0 0 0 <br /> Nledical Expenses Limit-Per Person $10,0 0 0 Product Aggregate Limit $3,0 0 0,0 0 0 <br /> Forms and Endorsements: Premium Amount <br /> Refer to "Commercial Policy Forms and Endorsement Schedule" <br /> BP-7119(04/10) <br /> INSURED'S COPY <br />