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DocuSign Envelope ID:083EODBE-3875-4C24-A128-CEACAFAFE26E <br /> i , LIABILITY INSURANCE 5020 Weston Parkway, Suite 200 919.677.8900 TEL <br /> ? LAW Z Car% North Carolina 27`113 800.662.8843 rou.FREE <br /> MUTUAL COMPANY OF <br /> 1 NORTH CAROLINA Post office Box 1929 r � 9(9.677.9641 r,�� <br /> Cary, North Carolina 2 ,12-1)29 mvw.lawyersmutuaInc.corn <br /> Attorney Listing / Prior Acts Limitation Endorsement <br /> This Endorsement, effective 12:01 A.M. on 07/01/2015 forms a Part of Policy No. 31629- 3 (the <br /> "Policy") issued by LAWYERS MUTUAL LIABILITY INSURANCE COMPANY OF NORTH CAROLINA(the <br /> "Company")and applies to HOLCOMB & CABE LLP (the "Named Insured"). <br /> It is hereby understood and agreed that as to each attorney listed below as aninsured under this <br /> Policy, this Policy shall not apply to such Insured's acts or omissions occurring, or series of <br /> related act(s) or omission(s) beginning, prior to the date listed individually for each Insured below <br /> ("Prior Acts Date"). <br /> All Policy Provisions, terms, and conditions, except as provided otherwise in this endorsement, <br /> remain in full force and effect. <br /> Attorney Name Licensing State License Prior Acts Date <br /> (or Other) Number <br /> 1. SAMANTHA HYATT CABE NC 28461 09/03/2002 <br /> 2. CAROL JAN HOLCOMB NC 16357 04/30/1989 <br /> Authorized Agent <br /> END#: 012 (1211712014) Page 1 of 1 Attyi-istPALE 31629 - 2015 <br />