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DocuSign Envelope ID:656DF690-72BC-42BC-9E47-7038084D8FFA <br /> liberty <br /> pik € ter natit:ial <br /> U rd r4+,rkerb <br /> Healthcare Professional Liability <br /> LIBERTY INSURANCE UNDERWRITERS INC. <br /> (.Stock Insurance Company,hereinafter the"Company") <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 /> NAMED INSURED <br /> The Named Insured on the Master Policy Declarations,form HCPL-2030D is completed to read as follows: <br /> The coverage afforded under this policy is for individual members of the following Federations who are added to the <br /> policy via Certificate form HCPL-2026D: <br /> American Polarity Therapy Association <br /> The Trager Institute <br /> American Organization for Bodywork Therapies of Asia <br /> The Feldenkrais Guild <br /> International Somatic Movement Education and Therapy Association <br /> American Society of the Alexander Technique <br /> ALL OTHER PERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. <br /> 1 <br /> HCPL-8086 (Ed. 12/10) <br />