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DocuSign Envelope ID: C8392BCC-AAA2-4C70-99A2-3BOA53622CD4 ltlbl 2002/002 <br /> r <br /> ............... ............. ............................ ............... .............. .............................. .......... ........................... ....................... ..................... ............ ................. ................ ........................ ......... .......... ...... <br /> EASTERN DENTISTS INSURANCE COMPANY <br /> (A Dental Society Risk Retention Group) <br /> CERTIFICATE OF INSURING <br /> This certificate is issued RS a matter of information only and confers no rights upon the certificate <br /> holder,This certificate does not amend,extend,or alter the coverage afforded by the policies listed <br /> below. <br /> INSURED: <br /> Cynthia J. Gamble, DDS <br /> 114 Oakmisf Cdr <br /> Cary, NC 27513 <br /> COMPANY AFFORDING COVERAGE: <br /> Eastern Dentists Insurance Company <br /> 200 Frlberg Parkway,Suite 2002 <br /> 'Westborough, MA 01581 <br /> TYPE OF INSURANCE: Claims Made Professional Liability <br /> POLICY NUMBER: NCC1500271 <br /> RETROACTIVE DATE- 04/22/2009 <br /> POLICY PERIOD: <br /> FROM: 04/22/2015 ; 12:01 A.M TO: 04/22/2016 ; 12:01 A.M. <br /> LIMITS OF LIABILITY; <br /> EACH CLAIM ANNUAL AGGREGATE <br /> $2,000,000 $ 4,400,000 <br /> aLDate issued., February 6, 2015 <br /> Hope Maxwell <br /> President and CEO <br /> Eastern Dentists Insurance Company <br /> 200 Frlberg Parkway,Suite 2002,Westborough,MA 01591-3999 <br /> 1-800.698-3342 4 508-13364204« 508.836-9910 Fax a www,edic.com <br />