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DocuSign Envelope ID:8CBFE2F1-1CBA-4556-8389-C7586951FC5D <br /> Client # 073937 <br /> I r EMORANDUM OF INSURANCE Date Issued 06/25/2015 <br /> oducer This memorandum is issued as a matter of information <br /> only and confers no rights upon the holder. Thi <br /> Mercer Consumer, a service of memorandum does not amend, extend or alter <br /> Mercer Health & Benefits Administration LLC coverages afforded by the Certificate listed below. <br /> P.O. Box 14576 <br /> Des Moines, IA 50306-3576 <br /> 1-800-503-9230 ompany Affording Coverage <br /> nsured Liberty Insurance Underwriters Inc <br /> Lorraine Lewis <br /> 107 Morningside Drive <br /> Carrboro NC 27510-1254 <br /> This is to certify that the Certificate listed below has been issued to the insured named above for the policy period indicated, <br /> not withstanding any requirement, term or condition of any contract or other document with respect to which this <br /> in may be issued or may pertain, the insurance afforded by the Certificate described herein is subject to all the <br /> terms, exclusions and conditions of such Certificate. The limits shown may have been reduced by aid claims. <br /> Type of Insurance Certificate Number Effective Date Expiration Date Limits <br /> rofessional Liability AHX-102357004 06/01/2015 06/01/2016 Per Incident/ $1,000,000 <br /> Federation Occurrence <br /> Annual A re ate $3,000,000 <br /> PROOF OF INSURANCE <br /> Memorandum Holder: Should the above describe Certificate be cancelled <br /> PROOF OF COVERAGE ONLY before the expiration date thereof, the issuing company <br /> ill endeavor to mail 30 days written notice to the <br /> Memorandum Holder named to the left, but failure to <br /> ail such notice shall impose no obligation or liability <br /> of any kind upon the company, its agents of <br /> representatives. <br /> Authorized Representative <br /> Mark Brostowitz <br /> Mercer Consumer,a service of Mercer Health& Benefits Administration LLC. In CA d/b/a Mercer Health& Benefits Insurance Services LLC. CA Ins Lic.#OG39709 <br />