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DocuSign Envelope ID:656DF690-72BC-42BC-9E47-7038084D8FFA <br /> liberty <br /> p intrrsaaticoss%1 <br /> Ua d r4+.ra ers- <br /> Healthcare Professional Liability <br /> LIBERTY INSURANCE UNDERWRITERS INC. <br /> (A Stock Insurance Company,hereinafter the"Company") <br /> ENDORSEMENT NO. [ ] <br /> Named Insured: Lorraine Lewis <br /> Policy Number: AH X-102357006 <br /> Effective Date: 06/01/2017 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> NORTH CAROLINA AMENDATORY ENDORSEMENT <br /> I. In consideration of the premium paid,it is hereby agreed and understood that,Part I.,COVERAGE,of the above <br /> referenced policy is hereby deleted in its entirety and replaced with the following: <br /> I. COVERAGE <br /> The Company will pay on behalf of the Insured all sums which the Insured shall become legally obligated to <br /> pay as Damages for Claims first made against the Insured and reported to the Company during the Policy <br /> Period or Extended Reporting Period, if applicable, as a result of Bodily Injury, Property Damage or <br /> Personal Injury caused by an Incident,provided always that such Incident happens: <br /> A. on or after the policy effective date shown on the Declarations;or <br /> B. on or after the effective date of the earliest Claims-Made Policy issued by the Company of which this <br /> policy is a renewal;or <br /> C. at any time prior to the policy effective date shown on the Declarations if: <br /> 1. such Incident happens on or subsequent to the"Prior Acts Date"on the Declarations;and <br /> 2. no Insured knew or could reasonably foreseen that such Incident might be expected to be the basis <br /> of a Claim or Suit on the effective date of this policy or the first Claims-Made Policy issued by the <br /> Company to which this policy is a renewal,whichever is earlier. <br /> The Company will pay on behalf of the Insured all sums which the Insured shall become legally obligated to <br /> pay as Damages to which this insurance applies and the Company shall have the right and duty to defend any <br /> Suit against the Insured seeking Damages on account of such Bodily Injury, Property Damage or <br /> Personal Injury,even if any of the allegations of the Suit are groundless,false or fraudulent,but the Company <br /> shall not be obligated to pay any Claim or judgment after the applicable limit of the Company's liability has <br /> been exhausted by payment of judgments or settlements. <br /> The Company,at its option,shall select and assign defense counsel;however,the Named Insured may engage <br /> additional counsel, solely at their expense, to associate in their defense of any Claim covered hereunder. <br /> Claim Expenses incurred by the Company shall be paid in addition to the applicable Limit of Liability. The <br /> Company shall also have the right to investigate any Claim and/or negotiate the settlement thereof,as it deems <br /> 1 4 <br /> HCPL-2026-9000-NC (Ed.04/10) <br />