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DocuSign Envelope ID: CB6AC050- OD53 -49BC- 8745- 742D2FEBC9C6 <br />EVIDENCE OF INSURANCE <br />For the Specified Members of the Alliance of Allied Health Care Professionals Risk Purchasing Group <br />THIS EVIDENCE OF INSURANCE IS ISSUED TO THE SPECIFIED MEMBER PURSUANT AND SUBJECT TO THE <br />MASTER POLICY ISSUED TO THE MASTER POLICYHOLDER. THIS EVIDENCE OF INSURANCE IS NOT THE <br />POLICY, BUT MUST BE READ TOGETHER WITH THE MASTER POLICY, ANY ENDORSEMENTS ISSUED TO <br />THE SPECIFIED MEMBER AND ANY OTHER ATTACHMENTS, APPLICATIONS, OR ADDITIONS TO THIS <br />EVIDENCE OF INSURANCE, ALL OF WHICH SHALL FORM THE POLICY ISSUED TO THE SPECIFIED MEMBER <br />BY CERTAIN UNDERWRITERS AT LLOYD'S, LONDON AND COLLECTIVELY SET FORTH THE INSURANCE <br />COVERAGE AFFORDED. <br />This document is to notify the Specified Member named below that the following insurance has been <br />effected with certain Underwriters at Lloyd's, London (not incorporated) (the" Underwriters ") for the <br />Period of Insurance specified below under the Master Policy specified below (the "Master Policy ") issued <br />to the Master Policyholder. <br />The insurance is provided under the Master Policy and is in accordance with the terms of the Master <br />Policy, a copy of which is attached hereto. The Original Master Policy may be inspected at the offices of <br />the Master Policyholder. The respective names of and proportions underwritten by Underwriters can be <br />ascertained from the office of the Master Policyholder. <br />This Master Policy is issued in accordance with the limited authorization granted under Contract to the <br />Correspondent by certain Underwriters at Lloyd's, London, whose names and proportions underwritten <br />by them can be ascertained by reference to the said Contract which bears the Seal of the Lloyd's Policy <br />Signing Office and is on file in the office of said Correspondent (such Underwriters being hereinafter called <br />"Underwriters ") and in consideration of the premium specified in the Evidence of Insurances issued to the <br />Specified Members of the Allied Health Care Professionals Purchasing Group by endorsement hereon, <br />Underwriters do hereby bind themselves each for his own part, and not one for another, their heirs, <br />executors and administrators. <br />Previous Policy Number UMR Policy Number <br />New Business B0572NA16AH05 YOGA1457162_1 <br />1, NAME AND ADDRESS OF THE SPECIFIED MEMBER <br />saili benedict <br />302 waterside drive <br />carrboro, NC <br />2. PERIOD OF INSURANCE <br />Effective From 8/7/2017 To 8/7/2018 both days at 12:01 a.m. standard <br />time <br />3. Insurance is effective with certain UNDERWRITERS AT LLOYD'S, LONDON —Percentage 100% <br />