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DocuSign Envelope ID:656DF690-72BC-42BC-9E47-7038084D8FFA <br /> Client #073937 <br /> MEMORANDUM OF INSURANCE Date Issued 05/31/2017 <br /> Producer This memorandum is issued as a matter of information <br /> only and confers no rights upon the holder. This <br /> Mercer Consumer, a service of memorandum does not amend, extend or alter <br /> Mercer Health& Benefits Admi ni strati on LLC coverages afforded by the Certificate listed below. <br /> P.O. Box 14576 <br /> Des Moines, IA 50306-3576 <br /> 1-800-503-9230 Company Affording Coverage <br /> Insured Liberty Insurance Underwriters Inc <br /> Lorraine Lewis <br /> 107 Morningside Drive <br /> Carrboro NC 27510-1254 <br /> This is to certify that the Certificate listed below has been issued to the insured named above for the policy period indicated, not <br /> withstanding any requirement, term or condition of any contract or other document with respect to which this memorandum may be <br /> issued or may pertain,the insurance afforded by the Certificate described herein is subject to all the terms, exclusions and conditions of <br /> such Certificate.The limits shown may have been reduced by paid claims. <br /> The Memorandum of Insurance and verification of payment are your evidence of coverage.No coverage is afforded unless the premium <br /> is successfully paid in full. <br /> Type of Insurance Certificate Number Effective Date Expiration Date Limits <br /> Professional Liability AHX-102357006 06/01/2017 06/01/2018 Per Incident/ $1,000,000 <br /> Federation Occurrence <br /> Annual Aggregate $3,000,000 <br /> PROOF OF INSURANCE <br /> Memorandum Holder: Should the above describe Certificate be cancelled <br /> PROOF OF COVERAGE ONLY before the expiration date thereof,the issuing company <br /> will endeavor to mail 30 days written notice to the <br /> Memorandum Holder named to the left, but failure to <br /> mail such notice shall impose no obligation or liability <br /> of any kind upon the company, its agents or <br /> representatives. <br /> Authorized Representative <br /> Maar^k Brostowitz <br /> "V VIQF t& Q. ' <br /> Mercer Consumer, a service of Mercer Health& Benefits Administration LLC. I n CA d/b/a Mercer Health& Benefits Insurance Services LLC. CA Ins Li c. #0G39709 <br />