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DocuSign Envelope ID: EAAlB08E-4226-45A4-818B-A35B979DD90C <br /> �T INSURANCE A � ] Policy No. SM-895158 <br /> Ell A oil T zX tl tl� JI Prod.No. CN2003119 <br /> j ARKEV <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 Meadowland Ear. <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 /> Aduft Day Care <br /> S_ 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 /> IL For General 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 /> () Each Person or Organization: $ 1,000,000 <br /> C. For Coverage C. (Medical Payments): <br /> () Each Injured Person: $ 5,000 <br /> D Co e <br /> Aggregate ate—All v ra es; 3000 000 <br /> 9g 9 ff $ , <br /> Page 1 <br />