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DocuSign Envelope ID: EAAlB08E-4226-45A4-818B-A35B979DD90C <br /> F .0 <br /> Policy No. SM-895158 <br /> EVANSTON INSURANCE COMPANY Prev. No. GN200 119 <br /> MARKEL" <br /> DECLARATIONS—SPECIFIED MEDICAL PROFESSIONS PROFESSIONAL LIABILITY <br /> INSURANCE—CLAIMS MADE COVERAGE <br /> SPECIFIED MEDICAL PROFESSIONS GENERAL LIABILITY(INCLUDING <br /> PRODUCTS AND COMPLETED OPERATIONS LIABILITY) INSURANCE <br /> CLAIMS MADE COVERAGE <br /> Claims Made Coverage: The coverage afforded by this policy is limited to liability for only those Claims <br /> that are first made against the Insured during the Policy Period or the Extended Reporting Period, if <br /> exercised. <br /> Notice: This is a duty to defend policy. Additionally,this policy contains provisions that reduce the limits of <br /> liability stated in the policy by the costs of legal defense and permit legal defense costs to be applied against <br /> the deductible, unless the policy is amended by endorsement. Please read the policy carefully, <br /> 1. NAMED INSURED: Senior Care of Orange County,Inc. <br /> 2. BUSINESS ADDRESS: <br /> 105 Meadovdand Dr. <br /> Hillsborough, NC 27278 <br /> 3. POLICY PERIOD: From July 13,2013 to July 13,2014 <br /> 12:01 A.M.Standard Time at address of Insured stated above <br /> 4. PROFESSIONAL SERVICES: <br /> Adult Day Care <br /> 5. SPECIFIED PRODUCTS,GOODS,OPERATIONS AND PREMISES COVERED: <br /> Adult Day Care Services; all related premises and operations of the Insured <br /> 6. LIMITS OF LIABILITY: <br /> I. For Professional Liability: <br /> A. Each Claim: $ 1,000,000 <br /> B. Aggregate: $ 3,000,000 <br /> H. ForGeneral Liability: <br /> A. For Coverage A. (Bodily Injury and Property Damage Liability): <br /> (1) Each Occurrence: $ 1,000,000 <br /> (ii) Damage to Premises—Any One Premises: $ 50,000 <br /> B. For Coverage B.(Personal Injury and Advertising Injury Liability): <br /> (i) Each Person or Organization: $ 1,000,000 <br /> C. For Coverage C.(Medical Payments): <br /> (t) Each Injured Person: $ 5,000 <br /> D. Aggregate—All Coverages: $ 3,000,000 <br /> Page 1 <br />