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PAGE TWO
<br /> The term "totally disabled"shall mean that the Insured is permanently, wholly and continuously
<br /> disabled and prevented from performing any and every duty pertaining to his profession and is under the
<br /> regular care and attendance of a legally qualified physician other than himself.
<br /> H If at any time after reaching age 65,and having been continuously insured by the Company on a
<br /> claims-made basis for the previous 10 years,the Insured elects to retire from his profession,the Company will
<br /> offer the"extension contract"described above,and will waive any and all premium charges normally
<br /> associated with such"extension."
<br /> I After being continuously insured by the Company on a claims-made basis for 20 years,the Insured
<br /> will be eligible to receive,at no premium charge,an"extension contract"for his past 20 years of claims-made
<br /> coverage.
<br /> J In any event, the limits of coverage offered in G,H and I above may not exceed the lowest limits
<br /> -purchased by the Insured during the five policy years immediately preceding disability or retirement.
<br /> Upon the following conditions: -
<br /> I The Insured shall notify the Company,at its General Offices,Fort Wayne,Indiana,or its agent,as soon as possible,of
<br /> any threatened claim,with full information relative to the services rendered;and its event such claim is filed in court shall
<br /> immediately forward any and all summons or process served together with the original or a copy of any and all other papers relating _
<br /> to said claim.
<br /> 2 The Insured shall not(a)make any bold harmless agreements or contract any expense nor voluntarily assume any liability
<br /> in any situation nor(h)make or contract any settlement of a claim hereunder,except at his own cost and responsibility,without the
<br /> written authorization of the Company.The Insured shall at all times fully cooperate with the Company in any claim hereunder
<br /> and shall attend and assist in the preparation and trial of any such claim.
<br /> 3 The Insured shall be authorized topractico its profession under tbo Taws of the State or States in which it operates.'
<br /> 4 Other insurance—The insurance afforded by this policy is primary insurance,except when stated to apply in excess of or
<br /> contingent upon the absence of other insurance.When this insurance is primary and the Insured has other insurance which is
<br /> stated to be applicable to the loss on an excess or contingent basis,the amount of the Company's liability under this policy shall not
<br /> be reduced by the existence of such other hisurance.
<br /> When both this insurance and other insurance apply to the loss on the same basis,whether primary,excess or contingent,the
<br /> Company shall not be liable under this policy for a greater proportion of such loss than the applicable limit of liability under this
<br /> policy for such loss bears to the total applicable limit of liability of all valid and collectible insurance against such lats.
<br /> 5 No action shall be maintained against the Company to recover a loss covered by this policy unless brought after the amount
<br /> of of such loss shall have been fixed either by a final judgment against the Insured by the court of resort after trial of the issue or by
<br /> agreement between the parties with the written consent of the Company and unless brought within two years and one day after
<br /> such judgment or written agreement except that,if such period is in conflict with the statutes of the state wherein this policy is
<br /> issued,it is hereby amended to conform with such statutes.Any person or his legal representative who has secured such judgment or
<br /> written agreement shall thereafter be entitled to recover under the terms of this policy in the same manner and to the same extent as
<br /> the Insured.Nothing contained in this policy shall give any person or organization any right to join the Company as a codefendant
<br /> in any action against the Insured to determine the Insured's liability.Bankruptcy or insolvency of lbe Insured shall not relieve the .
<br /> Company of any of its obligations hereunder.
<br /> 6 The interest of tbe'nsured under this policy shall not be assignable to any other person.
<br /> 7 This policy may be cancelled by the Insured by mailing to the Company or any of its authorized representatives written
<br /> notice,stating when thereafter the cancellation shall be effective.This policy may be cancelled by the Company by mailing postage
<br /> prepaid, to the Insured at the last address on record with the Company written notice stating when,not loss than 30 days
<br /> thereafter,such cancellation shall be effective.If the Insured cancels,earned premium shall be computed in accordance with the
<br /> standard short rate tables and procedure.If the Company cancels, earned premium shall be computed pro rata.Premium
<br /> adjustments shall be made within a reasonable period of time after cancellation,but payment of or tender of such unearned
<br /> premium shall not he a condition of cancellation.
<br /> 8 By acceptance of this policy the Insured agrees that this policy embodies all agreements existing between himself and the
<br /> Company or any of its agents relating to this insurance.
<br /> 9 The following space is intended for waivers,exceptions and endorsements.If any,they shall become part of this policy.
<br /> 125 320 390 526 532 603 609
<br /> Insured's Profession: MEDICINE
<br /> Retroactive Date: 08/14/85 The insured: ■
<br /> Policy No. 582850 DANIEL DAVID CRUMMETT MD 1`
<br /> The Premium S 1817 101 EAST CORBIN ST.
<br /> TOTAL 1817 HILLSBOROUGH, NC 27278
<br /> Per Claim Filed $ 1,000,000 Annual Aggregate S 1,000,000 .,,
<br /> The term of this policy shell begin end end at 12:01 a.m.,standard lime,at the place whore the Insured resides
<br /> Mo. DAY YEAR MO. DAY YEAR
<br /> and be from 12 31 93 to -12 31 94
<br /> DoT Company =tarot,p Theo be sin Pro- /..... 71Y✓�.
<br /> tective Company bas caused this policy to be signed by
<br /> its President and its Secretary and countersigned by
<br /> its duly authorized representative. PRESIDENT
<br /> COUNTERSIGNED SECRETARY
<br /> CM1•lwSl
<br /> IN THE EVENT OF CLAIM.THREATENED OR FILED.
<br /> IMMEDIATELY NOTIFY THE MEDICAL PROTECTIVE COMPANY.FORT WAYNE.INDIANA
<br /> FOR SERVICE CALL: J. MICHAK,L,.4,Thiggp.,�Y @ 9,19-467-8370 . i
<br /> ..__.,_.._..__. ..-.,ae....,u.as,n laI since 1099 RI
<br />
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