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DocuSign Envelope ID:6DFC12F1-2A9E-456D-9C77-92B691 CEDE F5 <br /> % <br /> LAWYERS LIABILITY INSURANCE 5020 Weston Parkway,Suite 200 919.677.8900 TEL <br /> COMPANY OF Cary, North Carolina 27513 800.662.8843 TOLL FREE <br /> Post Office Box 1929 <br /> b� T T UAL 919.677.9641 FAx <br /> =5'?1 dJ d 1 NORTH CAROLINA Cary,North Carolina 27512-1929 www.lawyersmutualnc.com <br /> Declarations <br /> LEIGH PEEK, ATTORNEY AT LAW, P.C. Location: <br /> PO BOX 1059 101- 307 MEADOWLANDS DR <br /> HILLSBOROUGH, NC 27278 HILLSBOROUGH NC 27278 <br /> Policy Number: 31219- 4 <br /> Policy Period: 05/18/2015 to 05/18/2016 <br /> 12:01 A.M.Standard Time at the address of the Named Insured stated herein <br /> Retroactive Date: 05/18/2012 <br /> Limits of Liability: A. $ 100,000 A. Applicable to any individual claim or one or more <br /> related claims. All claims arising out of the same, <br /> related or continuing professional service. <br /> B. $ 300,000 B. Aggregate limit of the Company's liability for all <br /> damages and claims expenses without regard to <br /> the number of Insureds, claims, demands, suits, <br /> pleadings or claimants. <br /> Deductible: C. $ 5,000 C. See Condition I, "Deductible and Limit of <br /> (including claims expenses) Liability,"of the Policy. <br /> Premium: $ 1,938 <br /> Endorsement Attachments: <br /> 012 <br /> In witness whereof,Lawyers Mutual Liability Insurance Company of North Carolina has caused this policy to be signed by its President and <br /> Secretary and countersigned by a duly authorized agent of the Company. <br /> Secretary <br /> �,,�,��� __..... <br /> Pre ident Authorized Agent <br /> Lawyers Professional Liability Policy (This is a Claims-Made Policy. Defense costs are a part of the Policy <br /> Limits and reduce the amount available to pay losses. You should read your policy for a complete <br /> understanding of its Terms, Conditions&Coverages). <br /> (10/05/2012) PolicyForm 31219 - 2015 <br />