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DocuSign Envelope ID: 79C656D4-C9CC-4E83-86DC-2586ACE20052 <br /> SPECIFIED R FE I N PROFESSION BIL ERRORS& OMISSIONS COVE RA <br /> DECLARATIONS <br /> PLEASE READ YOUR POLICY CAREFULLY. <br /> THIS IS A CLAIMS MADE POLICY COVERAGE FORM AND UNLESS OTHERWISE PROVIDED HEREIN,THE <br /> COVERAGE OF THIS FORM IS LIMITED TO LIABILITY FOR CLAIMS FIRST MADE DURING THE POLICY <br /> PERIOD, OR THE EXTENSION PERIOD, IF APPLICABLE. DEFENSE COSTS SHALL BE APPLIED AGAINST <br /> THE DEDUCTIBLE. <br /> No. SP 1557590 Effective Date: 10/0222014 <br /> 12:01 AM STANDARD TIME <br /> ITEM I. NAMED INSURED AND PRINCIPAL ADDRESS <br /> Dispute Settlement Center Inc. <br /> 302 Weaver Street <br /> Carrboro, NC 27510 <br /> ITEM II. POLICY PERIOD:(MMIDDIYYYY) From: 1 010212 0 1 4 To: 10!0212015 <br /> Specified Professions Professional Liability <br /> ITEM IT LIMITS OF LIABILITY $1,000,000 EACH CLAIM <br /> $1,004,000 ANNUAL AGGREGATE <br /> ITEM IV. DEDUCTIBLE: $5,000 EACH CLAIM <br /> ITEM V. PREMIUM: $756 <br /> ITEM Vl. RETROACTIVE DATE: 10/212014 <br /> ITEM VII. Coverage Form(s)IPart(s)and Endorsement(s)made a part of this policy at <br /> See Endorsement EOD(0 1195) <br /> ITEM Vlll. Solely in the performance of Professional Services as a(n) Mediator/Training <br /> Specialist for others for a fee. <br /> THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. <br /> SP 150(0911 1) Page 1 Of 1 <br />