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DocuSign Envelope ID:656DF690-72BC-42BC-9E47-7038084D8FFA <br /> 4 liberty <br /> international <br /> Untkrc'rherb <br /> PROFESSIONAL LIABILITY <br /> LIBERTY INSURANCE UNDERWRITERS INC. <br /> ('1 New York Stock Insurance Company,hereinafter the"Insurer") <br /> ENDORSEMENT NO. [ ] <br /> Effective Date: 06/01/2017 <br /> Policy Number: AHX-102357006 <br /> Issued To: Lorraine Lewis <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> U.S. ECONOMIC AND TRADE SANCTIONS ENDORSEMENT <br /> Whenever coverage provided by this policy would be in violation of any U.S.economic or trade sanctions such as,but <br /> not limited to,those sanctions administered and enforced by the U.S.Treasury Department's Office of Foreign Assets <br /> Control("OFAC"),such coverage shall be null and void. <br /> Similarly,any coverage relating to or referred to in any certificates or other evidences of insurance or any claim that <br /> would be in violation of U.S.economic or trade sanctions as described above shall also be null and void. <br /> 1111 <br /> OF AC 08/09 <br />