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DocuSign Envelope ID:572F6418-39E1-4F6F-B960-93B2BCCA7F05 <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.Thls certificate does not amend,extend,or alter the coverage afforded by the policies listed <br /> below. <br /> INSURED: <br /> Cynthia J. Gamble, DIES <br /> 114 Oakmist 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: NCC 1700271 <br /> RETROACTIVE DATED 04/22/2009 <br /> POLICY PERIOD: <br /> FItQM: 04/22/2017 ; 12:01 AM TO: 04/22/2018 ; 12:01 A.M. <br /> LIMITS OF LIABILITY: <br /> EACH CLAIM ANNUAL AGGREGATE <br /> $24000,000 $4,000,000 <br /> Date Issued: February 14, 2017 <br /> H e Maxwell <br /> President and CEO <br /> Eastern Dentists Insurance Company <br /> 200 Friberg Parkway,Suite 200x.Westborough,MA 01581.3999 <br /> 1-800.898.3342 •508-836-4204. 508-836-9910 Fax• www.edlc.com <br /> 2'd STOTS.1766T6:01 82SS628L6T6 13()0o NanQD:WOzA 6fr:L2 LT22-91-Nnr <br />