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DocuSign Envelope ID: B9CF70F3-EB57-4815-81 BF-55CF8DC60426 <br /> LAIYERS LIABILITY INSURANCE -5020LWeKtfm Nrkway,5uile200 919.677,89ffl itt. <br /> COMPANY OF Cary,North Carolina 27513 8W.602,884.3 xH i i iat <br /> MUTUAL �=Office Box 1929 9 19.67 7.9641 FAX <br /> NORTH CAROLINA Cary, North Camlina 27512-1929 1 www.lawyersmutrsalnc.com <br /> Declarations <br /> LEIGH PEEK, ATTORNEY AT LAW, P.C. Location: <br /> PO BOX 1059 307 MEADOWLANDS ❑R, SUITE 101 <br /> HILLSBOROUGH, NC 27278 HILLSBOROUGH, NC 27278 <br /> Policy Number: 31219-LPL-08 <br /> Policy Period: 05-18-2019 to 05-18-2020 <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 regardto the <br /> number of insureds, Extended Reporting <br /> Endorsements,claims,suits,or claimants. <br /> Deductible: C. $5,000 C. See 1NSURINGAGREEMENT VI.Deductible and <br /> [including claims expenses] Limit of Liability. <br /> Premium: $2,464.00 <br /> Endorsement Attachments: <br /> 012069 <br /> to witness whereof,Lawyers Mutual Liability Insurance Company of North Carolina has caused this Pnlicy to be signed by its President and countersigned <br /> by a duly authorized agent of the Company. <br /> r�t4tltonzcd AgogPrc ident <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 /> (09/01/2018) PolicyForm <br />