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DocuSign Envelope ID:8B670D51-A7FD-4694-8E94-963553021305 <br /> DECLARATIONS <br /> MANAGEMENT & PROFESSIONAL LIABILITY POLICY <br /> ITEM 5. EXTENDED REPORTING PERIOD <br /> Additional Annual Premium: 100% <br /> Additional Period: 12 Months <br /> ITEM 6. ADDITIONAL INSUREDS (A) (B) (C) <br /> Insureds Subject to Annual <br /> Are Included Annual Aggregate Aggregate <br /> In Sub-Limit Of Sub-Limit Of <br /> This Policv Liabili Liabili <br /> Management Liability <br /> Employees And Leased Employees Yes No N/A <br /> Employment Practices Liability <br /> Employees And Leased Employees N/A N/A N/A <br /> Independent Contractors N/A N/A N/A <br /> Fiduciary Liability <br /> Employees And Leased Employees N/A N/A N/A <br /> ITEM 7. PRIOR OR PENDING LITIGATION Date <br /> Management Liability <br /> Individual 09/29/2013 <br /> Reimbursement 09/29/2013 <br /> Entity= N/A <br /> Director And Officer Umbrella N/A <br /> Employment Practices Liability= N/A <br /> Fiduciary Liability N/A <br /> Enhanced Defense Reimbursement N/A <br /> SCM 09/30/2014 <br /> MPL 000107 13 CUMIS Insurance Society, Inc. Page 2 of 3 <br />