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DocuSign Envelope ID: 30809FAD -A9DE- 4881 - 9740 - 361075204924 <br />StateFarm <br />• <br />. <br />State Farm <br />Specialty Products <br />Telephone: (866) 737 -6877 <br />Facsimile: (847) 572 -6262 <br />CiIIVUGK OF INSURPINCE Page: 2 <br />6. Schedule of Insured Services: <br />Organizational consulting services including strategic planning, executive coaching, leadership <br />development, and related project management services <br />7. Applicable Forms & Endorsements: <br />FPSMS4000(01 /01) Fmiscellaneous Errors and Omissions Liability Insurance Policy <br />FPSMS4037(01 /01) Management Consultant Endorsement <br />F-PSMS4049NC(08 /02) North Carolina Amendatory Endorsement <br />8. Special Conditions: <br />� I Not Applicable <br />9. Subjectivities: <br />Subject to our receipt & approval of the following requirements: <br />• Not Applicable <br />This binder requires payment of premium to State Farm Specialty Products, at the location listed on the invoice, on <br />the premium due date shown in the invoice. This binder may be cancelled if payment is not received by the <br />premium due date on the invoice. <br />In the event of cancellation or expiration of this binder without a Policy or Renewal Declarations Page being issued, <br />the Insurer shall be entitled to an earned premium for the time in force as calculated by the Insurer in accordance <br />with the provisions of the applicable specimen policy or expiring policy. <br />Date of Issue: October 4, 2017 By: <br />Authorized Representa <br />222 South Riverside Plaza, Suite 2250, Chicago, IL 60606 -5808 <br />