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DocuSign Envelope ID: OF93300E -D182- 4824- AB97- AB4A8DFC99A5 <br />� ARGO GROUP <br />PO Box 469012 <br />San Antonio, TX 78246 <br />Email submissions to: am @colonyspecialty.com <br />Quote No: 174130 -1 Allied Medical Binder Confirmation Date: 03/29/2017 <br />TO; BURLS & WILCOX (CHARLOTTE), Charlotte, NC 28277 <br />ATTN: Jacqueline P. Leslie <br />FROM: LIZ STEPHENS, Istephens @colonyspecialty.com, 804 - 560 -4034 <br />INSURED: EXPRESS SUPPORT GROUP LLC, Raleigh, NC 27609 <br />Policy Number: AP516946 <br />Effective Date: 0312712017 <br />Expiration Date: 03/27/2018 <br />Per terms and conditions <br />listed herein. <br />The terms and conditions of the bind on behalf of Colony Insurance Company are noted below: <br />� <br />TOTAL. PREMIUM (Including Excess Uability, if a $7,865 pplicable): Covers e Re ected <br />Certified Acts of Terrorism (Not included in the total premium above): g 1$205 <br />Inspection Fee (Not included in the total premium above): <br />The continued coverage of terms bound is subject to a favorable inspection. x Plus taxes and fees <br />Commercial General Liability <br />Claims Made <br />Coverage Form: <br />03/2712017 <br />Retroactive Date: <br />Insuring Agreement A - Bodily injury and Properly Damage Limit: <br />$1,000,000 <br />Included <br />Products - Completed Operations Aggregate Limit: <br />$50,000 <br />Damage to Premises Rented to You Limit: <br />$1,000,000 <br />Insuring Agreement B - Personal and Advertising Injury Limit: <br />Insuring Agreement C- Medical Payments: <br />$2,500 <br />Medical Expense Per Incident Limit: <br />$10,000 <br />Medical Expense Aggregate Limit: <br />$2;000,000 <br />General Liability Aggregate Limit: <br />Professional Liability <br />Claims Made <br />Coverage Form: <br />03/27/2017 <br />Retroactive Date: <br />Insuring Agreement D - Professional Liability Limit: <br />$1,000,000 <br />$2,000,000 <br />Professional Liability Aggregate Limit: <br />Additional Coverages <br />$100,0001300,000 <br />Sexual Abuse or Molestation Sublimit: <br />Separate <br />Professiohal Liability Limits Included in CGL or Separate: <br />Excluded <br />Punitive Damages: <br />Within the Limits <br />Defense Expenses: <br />$5,000 <br />Deductible: <br />Deductible applies per occurrence for Insuring Agreements A and B, and per claim <br />for Insuring Agreement D. See coverage parts and endorsements which may have <br />separate deductibles. <br />