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This policy shall not be valid unless countersigned by a duly authorized representative of the company. <br />Countersigned By __________________________________ <br />Authorized Representative <br />Issue <br />Date:08/17/2018 04:30:27 PM <br />DBOZANT <br />Renewal Conversi <br />ASPDTPL056 0317 <br />SecretaryPresident <br />Page 1 of 1 <br />$1,000,000 <br />Limits of Liability <br />Each Claim <br />Coverage <br />Professional Liability - OccurrenceAggregate$3,000,000 <br />Included Personal Injury Liability & Advertising Injury Liability - Occurrence <br />Each Person First Aid - Occurrence <br />Aggregate <br />Each Claim Employment Practices Liability Coverage Defense - Claims-Made <br />Policy Premium$589.00 <br />Printed Endorsements Attached At Policy Issuance - See Attached Schedule of Endorsements <br />Policy Number <br />D022132-02 <br />From Policy Period To <br />09/18/2018 09/18/2019 <br />Coverage Is Provided By <br />Named Insured and Address National Administrator <br />State Administrator <br />Brian James Swift DDS <br />4010 Sweeten Creek Rd. <br />Chapel Hill, NC 27514 <br />PROFESSIONAL PROTECTOR PLAN ® <br />PROFESSIONAL LIABILITY COVERAGE PART <br />DENTISTS/ORAL SURGEONS OCCURRENCE <br />DECLARATIONS <br />$25,000 <br />$25,000 <br />Aspen American Insurance Company <br />B & B Protector Plans Inc. <br />P.O. Box 173569 <br />Tampa, FL 33672-3569 <br />APP / PPP - NC <br />P O Box 172057, <br />Tampa FL - 33672 <br />$10,000 <br />DocuSign Envelope ID: AF952183-DCC6-47F3-9841-1B9C7887DC3D