Orange County NC Website
222 South Riverside Plaza, Suite 2250, Chicago, IL 60606-5808 <br />Telephone: (866) 737-6877 <br />Facsimile: (847) 572-6262 <br /> BINDER OF INSURANCE 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 />PSMS4000(01/01) Miscellaneous Errors and Omissions Liability Insurance Policy <br />PSMS4037(01/01) Management Consultant Endorsement <br />PSMS4049NC(08/02) North Carolina Amendatory Endorsement <br />8. Special Conditions: <br />•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 />ENDO_ID ENDO_DESC <br />Date of Issue: October 4, 2017 By: <br />DocuSign Envelope ID: 52FB3400-CB52-4D46-9231-157F153B491B