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DocuSign Envelope ID: 7B8A49E3 -0053- 4631- BB3F- 8F2495A64B57 <br />LAWYERS <br />MUTUAL <br />LEIGH PEEK, ATTORNEY AT L <br />PO BOX 1059 <br />HILLSBOROUGH, NC 27278 <br />LIABILITY INSURANCE 5020 Weston Parkway, Suite 200 919.677A900 Ta <br />COMPANY OF Cary, North czarotina 27513 800.6624843 TOLL rxrr <br />PQ4t C?filCe 0ox 1929 919.677.9641 rnx <br />NORTH CAROLM Cary, North Carolina 27512 -1929 1 www:lawyersmutoalac.com <br />Declarations <br />AW, P.C. Location: <br />307 MEADOWLANDS DR, SUITE 101 <br />HILLSBOROUGH, NC 27278 <br />Policy Number: 31219- LPL -07 <br />Policy Period: 05 -18 -2018 to 05.18 -2019 <br />12 :01 A.M, Standard Time at the address of the Named Insured stated herein. <br />Prior Acts Date of May 18, 2012 <br />Named Insured: <br />Limits of Liability: A. $100,000 A. Applicable to any claim or one or more related <br />claims. <br />B. $300,000 B. Aggregate limit of the Company's liability for all <br />damages and claims expenses without regard to the <br />number of Insureds, Extended Reporting <br />Endorsements, claims, suits, or claimants. <br />Deductible: C. $5,000 C. See INSURING AGREEMENT VI. Deductible and <br />(including claims expenses) Limit of Liability. <br />Premium: $2,570.00 <br />Endorsement Attachments: <br />012 069 <br />In witness whereof, Lawyers Mutual liability Insurance Company of North Carolina has caused this Policy to be signed by its President and Secretary and <br />countersigned by a duly authorized agent of the Company.. <br />9"r-4 )- /4t-� <br />Secretary <br />,tj,,�2 <br />Pre ident <br />Aut aYiadd <br />Lawyers Professional Liability Policy (This is a Claims -Made and Reported Policy. Defense costs are a part of the <br />Policy Limits and reduce the amount available to pay losses. You should read your Policy for a complete <br />understanding of its Terms, Conditions & Coverages). <br />(08101/2015.2) PollcyForm <br />