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DocuSign Envelope ID: B9CF70F3-EB57-4815-81 BF-55CF8DC60426 <br /> LIABILITY INSURANCE 5020 Westan lhrkway,Sode 200 =119.677.8900 FFt <br /> LAYERS <br /> COMPANY OF Cary.NorthCaroIina 27511 800.662,8843 rrAI FkFF <br /> NnQ Office Box 192=1 919.677.9641 FAX <br /> MUTUAL NORTH CAROLINA Cary,North CaroIin7 i 112.192") www.lawyenmuluainc.com <br /> Insured Listing 1 Prior Acts date Endorsement <br /> This Endorsement, effective 12:01 A.M. on May 18,2019 forms a part of Policy No. 31219-LPL-08 (the <br /> "Policy") issued by LAWYERS MUTUAL LIABILITY INSURANCE COMPANY OF NORTH CAROLINA and <br /> applies to LEIGH PEEK,ATTORNEY AT LAW, P.C. (the"Named Insured"). <br /> It is hereby understood and agreed that as to each Insured listed below, this Policy shall not apply to <br /> such Insured's act(s)or omission(s), or series of related act(s) or omission(s), occuring or beginning <br /> prior to the date listed individually for each insured below ("Prior Acts Date") <br /> All Policy provisions, terms, exclusions, and conditions, except as provided otherwise in this <br /> Endorsement, remain in full force and effect. <br /> Name Licensing State License Prior Acts Date <br /> or Other Number <br /> 1 MICHAEL NOAH OSWALD NC 44671 08-31-2012 <br /> 2 LEIGH ANN PEEK NC 22249 07-08-1996 <br /> Autho izcd AFC <br /> END #:012 1oa/oinoi5l AttyListPALE <br />