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DocuSign Envelope ID:08F5590C-AFE2-44BA-B873-AC73B2E3Al2B <br /> H I S C HISCOX INSURANCE COMPANY INC. (A Stock Company) <br /> 104 South Michigan Avenue,849$00 Chicago Illlnols 80603 <br /> Certificate of Professional Liability Insurance <br /> This certificate is issued for Informational purposes only. <br /> h oedifles thatthe policies listed In this document have been issued to the Named Insured. It goes not grant any rights to <br /> any party nor can it he used,in anyway,to modify coverage provided by such policies.Afteration of this Certificate doss not <br /> change the Ierms,exclusions or conditions of such pollclos. <br /> Coverage is svbjoct to the provisions of the policies,inoluding any exclusions or conditions,regardless of the provisions of <br /> any other contract,such as baIween the certificate holder and the Named insured.The limits shown below are the limits <br /> provided at the policy inoption,Subsequent paid claims may reduce these limits, <br /> Named Insured: Courtney Kennedy <br /> Insurer Nam&, klscox insurance Company In r,. <br /> Policy Number; UDC-1492101-EO.14 <br /> Policy Effective Date: October 01,2014 Policy Expiration Oate; October 01,2015 <br /> Limits of Insurance <br /> Each Claim: is 1,000,000 Each Claim <br /> Aggregate for all Claims; $ 1,000,000 Aggregate for alf Claims <br /> Deductible; $500 Each claim <br /> Retroactive Date: December 01.2003 <br /> The pollry roforred to to thin,certificate Was issued on a claims made and reported basis. <br /> Description of Endorse montxf8peclxi Provislans <br /> Not applicable <br /> September 26,2014 <br /> Authorized Representative Date <br /> OPL 0401 DW(01110) Includes copyrighted material of insurance Services Office, Inc.,with Pago 1 <br /> Its pormlcsion. 0ISO Propertios, Inc„2000 <br />