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DocuSign Envelope ID: 9BE92A26-4CEE-4AC3-BC41-BB345E3551A4 <br /> . 4, <br /> ACORMer CERTIFICATE:OF LIABILITY INSURANtEs ovv.40.666 ): <br /> owootois: <br /> THISICERTIPIOATE 1 ISSUED ABA.MATTER OF 1NFORMAlicift ONLY MID tolikiiit ilo!Rkstfte UPOR THE DERTIFIOATErHOLDIDt. THIS <br /> CE,..,, AllFicA7W,DOE IX ROT AFFARMA7V.,EKT PI3:RECiAIIYEE,Y,•40,,ERp.;pqgfigi OR ift!..TER THE upygg494 AFFORDED BY THE'PDMIEP- <br /> ok100_,i TJOAERTIWg Or IN.SOMNgEOPEE;" 407,0. 9RAT11TS A,.kOttTkOr REIWEER HE ISSUING INSORER(8),, AtrrOnizED <br /> tEpReugmimive OR PRODUCER, <br /> ANDITHEVERTIOIOATE HOLDER. , <br /> IMPORT ,'''; IMO a, .■ ".,- a holdatiscari ADDITIONAL INSUREDE mwpouarresi muff ItaatADDITIONAL INSUREDiprOvisiOne,Or be'trickitsed, <br /> W-§ILIttRoOkmott,E,VriklyED,eoblocvto:Jille,Aertie. . !e.0.0 tienclIgenee.eMoi 00110/..c;44010 0011.0410o may rti,q0,0'Oh ohdotsenlent A statement on <br /> Misicertmadedoes netwanfor rights tothavadIffcatalafdatin Rau afaudcanilarsemant(a). , <br /> 17/10704t: Hancradeste&Silplas, Inc. <br /> P0-.412450 :13,1*,, _" ,, <br /> iicoeEeet . <br /> WILMINOPPN, NO-28405, ' INSURENSFAFFOROING COVERAGE NAM O' <br /> . eteutgz-ki S.COTTSOALE INISURANC. COMPANY .41297 <br /> IN905Er! -FARRINOIT)RgROTH,VA IiisuRkka; „ <br /> :14gRSONIALIZEID PATIENTS,. HOlvfaiA$05.r*100 .tritukoce; <br /> 1:0p CONGoRb DRIVE ,INSIMERDI , <br /> t <br /> , imUNIERE3 . <br /> ;CHAPEL HILL,NO275116 :11411-REFIrt . . <br /> - L <br /> COVERUES CERTIROATiliNIaeg: tREVISION:NUMBER; <br /> MI'S IS Tq-,,PERTIFY, MAT THE Etp,LictEs4)F,INP,10:10s.1.11TER Agi.,00)AVE$,EP,I ,ismitig,14„uRga,Nogurft,,actv,4:,roaquE,?OI-IPTI PERipa <br /> InDrArEci, foTvoirriisTAHENe■OnflEatufEhiEff._,;TERiroROCNIRDDRAF A10340 1 og,..1 ER.occlIMEKTANITS RESPECT TAWHIcH,THIS <br /> annul's.MAY DE'ROAD,013 1.1AY'PERTAIR,,,IHEruitURMICCAftitutcrattRei,' Id u .eletHEREne•is'suBJEct TO litlirTHE TERMS, <br /> EXCLUSIONS•ANDOONMTIONS,OF1UOH POLIDISSaIMITSSHOIMq MAYHMEBEEN RECUDEDBYPAIDDIATMS,, <br /> VW TAW!Li"' to *1131V1411 -1.IGY.i.iiiiiiiiii1"-- LtIIIMIMiggti-94 <br /> izi wiingtimategaRALL/Aturf. <br /> I ,--zJ',0.4. l',•;4 $ 44,QP,A00 <br /> ..1 ICLASISWAM.0::CRICUR 1 1125fetiff.45111 ..ii <br /> El <br /> , 0 P$249 5182 ;0zi*Ecie wiE212cift. mEt,y0)417w ino,..ffrotri r . se tililmoi-- <br /> , 'FiUttill444 AIN ItitifRY s 4:,coniorta , <br /> nV*1:00.10liamy 4Ps.unk e :1; OttfigAN., .i4O§tOkt $ . •e„.,I I% <br /> 137R:up,1:22.? JAG .pRo. . st-'-skoNoPAGG ' 2 000 Goo <br /> IN,o. „.„. IlommimEMMIN=1 <br /> ii,Aqp74avegolf....1:77.to LE0, EMe,f.diiiijakiariPMIIMM <br /> 11.11'144:::DtlEY •1111:OLITOdtrEl? <br /> 1 <br /> . .....,.._ _.. <br /> It l*Y41401`.r(PFEra.M MT <br /> PILY14Yle.15114:4410 <br /> rfeiWiltiiiiiiMilla...... <br /> ; <br /> 1111 El I <br /> Ili 41.12BRISUALIAB 1.1zezuR <br /> EACKDCCURRENCE $ <br /> III ff.3,00,6,14415 1111 ttAihn-face <br /> I <br /> AGGREGATE <br /> MM. -1_7-4u .•'. . 1111=111.11. 11.s......_...t.A64.. 4,043.400___ <br /> WORKERaCcf,1-z :,Tioii. <br /> Ell LiMN NIAMMIIIIIIMI <br /> Ao,E=.4 .witopy. n. <br /> Atiirv„;;••:. ...1.,,.,,„ ,.,. • _ <br /> NM <br /> : ' <br /> I <br /> ,a.i...comae.MEW:WYE. 4 , <br /> ,iftffil I- .- ,i5eis-.--TONS bOlOW .- .. , ,D3SEASE-P,OLICY11MIT <br /> ,DodUctiblth$ <br /> , ; <br /> —, ,,„ , - . , 'I • <br /> 'OEIMPTION.OFAIPERVIONIOLOCATIONEKVENOLENE VICORL1 40;AtlirltfoElal Rtettrks:901*did 4 teltbRidt110041filiftsitsifikariquErAQ <br /> HE POLICYINCLUDES <br /> ,O0,600 PER OCC/2,00.000 AGG ERRORS&OMISSIONS <br /> •OIC,D0 EACH()qv:it-Apo Apc: SEXUALAND PHYSICAL ABUSE <br /> .CERTIFICATE HOLDER CARCELLATION <br /> :ORANGEZOUNTY' DEE MI:DARPA 111410va RIMc,RIBED FOI4E4 OPOROLLgic agroug <br /> POCE10),(81,81 MR 0,17.101 OA* 'Th.IZRE04 kirriCt 1,91, 14.; Jig: 'D'ufaii,:f0Oca'IN' <br /> ,HILLSBOROUGH,Ne 27278 0,01k*41.4.*10.1-P11.00.P040:YrItOYr4140i, <br /> ".PLUXHORLIECIREPRE8BitAINE . <br /> 7 n.4' .-,, 1457 - <br /> ----. ...-___r tk <br /> _ <br /> . . . <br /> 0118 .1A2P1.5-6PoRDCORPORATIQK All HOMO;risaefweEL. <br /> AcORD a(201110) TheACORD name and legounioittetered marks-otAWRD <br /> ... <br />