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DocuSign Envelope ID: DCBF9B19-4560-44DC-A9DO-7lF645AC8BDC <br /> AVMA I PLIT° Veterinary Professional Liability <br /> Protecting you through it all Insurance Policy <br /> Certificate of insurance i r <br /> This policy provides ncettrrcnce covemp.please review Ile l,oIicy carerully. Z U R I r H <br /> ITEM 1:Insured by the slack cotnpany below and hereina0cr en Ile d rile Cumpan)' 4 �+ <br /> Zurich American Insurance Company D-VPI--tp►-A-CW ivr.lul <br /> ITEM 2:Ahmed Cerlificale holder,member number,rating code and address Master Policy Nuinher; Certificate Number; <br /> EOL 5241302-14 VEiTPROG69825 <br /> Alnanda Leah Chapman,DVM FOR INFORMATION OR TO FiLE A CLAIM <br /> 104 Mullin Court PLEASE CALL(800)228-7548 <br /> Chapel Hill,NC 27514 <br /> ITEM 3;Policy Period <br /> From: U11UI1zU1t1 <br /> To: 0I/01/2020 t <br /> 12:01 am Standard time at the address ortltc Monett C'citiftcale Nuldcr <br /> its stated herein <br /> iTEM 4;Limits of Liability <br /> Member Name Member Nn, Raling Code - Each claim $ 1,000,00(I <br /> Amanda Chapman 26552.0 [IV)Small Animal Ekclusi�e: Aggregate $3,000,000 <br /> ITEM 5;I'minium and coverage summary ITEM 6:Fo17ns Attached at issuance: <br /> Pchintry Pmfessional Liability $248.00 L)-VPL-IOU-A CW(07104);U-VPL-#03-A CW(07104):U-GU-I 191-A CW(03/15); <br /> Velerinary License Defense $94.00 U-VPL-i28-A NC(10/04);U-VPL-155-A NC(10/04);U-Vi'l--102-13 CW(1)6!11): <br /> U-0U-319-F(01/09),U•GU-i 194-A CW(08115) <br /> ITEM 7:Schedule of Plan Numbers.and location(s)for Proressional 1'sxtcnsivn <br /> TOTAL.DUE: $342.00 Endorsement(Ali itrial Bailee)I Embryo and Semen Slorafe(if pur'chatsecl): <br /> ror additional locations,please see 1110 auaclied page <br /> Location Numbed/Address Extension Plan Ernbiyo I'll <br /> ; <br /> ( <br /> 4 <br /> 9 <br /> d <br /> ITEM 8.Veterinary Professional Liability Regulatory Action Lieeuse Defense .. <br /> Coverage cmlorsemcnl(if purchased); This Cerlificale of htxurance is issued nlf the Master[In Iicy lichl by the Americaxi <br /> Veterinary Mcdind Association(AVNIA)Protessional Liability Insmmoee Trost.fry <br /> Limit: $25,000 accepiancc orfltis pnlicy the Named Certlficato Ill older agrees thal the statemeniN is <br /> lite cerliftcare and Ilse appticat ion and any attachments Itcretu arc the Manted <br /> Authorized Signature Cerlificatu Holder's agreements and representations and that this )()I icy cns6ndies rill <br /> ogreemcnls ex isting between the Nuored Cerllllc;dc Ita[it er R the Company or any <br /> A/ uHm repiescntalives relating so this insurai ce. <br /> Nos ice to live company: Zurich American Insurance Cnmp;rny <br /> 1',0,Box 968041 <br /> N:_il R.Hughes.Presidcttt <br /> Schaumburg 3l-6019f-R041 <br /> FlilEi International Midu�esl Limited <br />