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DocuSign Envelope ID:52078629-0005-490E-B927-912B1A72FEB1 <br /> EASTERN DENTISTS INSURANCE COMPANY <br /> (A Dental Society Risk Retention Group) <br /> CERTIFICATE OF INSURANCE <br /> This certificate Is issued as 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 Qakmist Dr <br /> Cary, NC 27513 <br /> COMPANY AFFORDING COVERAGE: <br /> Eastern Dentists insurance Company <br /> 200 Friberg Parkway,Suite 2002 <br /> Westborough, MA 01581 <br /> TYPE OF INSURANCE: Claims Made Professional Liability <br /> POLICY NUMBER; NCC1600271 <br /> RETROACTIVE DATE: 04/22/2009 <br /> POLICY PERIOD: <br /> FROM: 04/22/2016 ; 12:01 A.M TO: 04/2212017 ; 12:01 A.M. <br /> LIMITS OF LIABILITY: <br /> EACH CLAIM ANNUAL AGGREGATE <br /> $2,000,000 $4,000,000 <br /> ./ r Date Issued: February 12, 2016 <br /> H• <br /> be Maxwell <br /> President and CEO <br /> Eastern Dentists insurance Company <br /> 200 Friberg Parkway,Suite 2002,Westborough,MA 01581-3999 <br /> 1-800-898-3342 • 508-836-4204 • 508-836-9910 Fax• www,edic,com <br /> TOOZ a T qun32 UOT08C6T6 Drd 9T:LT 9TOZ/fiT/60 <br />