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DocuSign Envelope ID:76912935-F100-406D-98F4-3A5B3D661849 <br /> EVIDENCE OF INSURANCE <br /> For the Specified Members of the Alliance of Allied Health Care Professionals Risk Purchasing Group <br /> THIS EVIDENCE OF INSURANCE IS ISSUE❑TO THE SPECIFIED MEMBER PURSUANT AND SUBJECT TO THE <br /> MASTER POLICY ISSUED TO THE MASTER POLICYHOLDER. THIS EVIDENCE OF INSURANCE IS NOT THE <br /> POLICY, BUT MUST BE READ TOGETHER WITH THE MASTER POLICY, ANY ENDORSEMENTS ISSUED TO <br /> THE SPECIFIED MEMBER AND ANY OTHER ATTACHMENTS, APPLICATIONS, OR ADDITIONS TO THIS <br /> EVIDENCE OF INSURANCE, ALL OF WHICH SHALL FORM THE POLICY ISSUED TO THE SPECIFIE❑ MEMBER <br /> BY CERTAIN UNDERWRITERS AT LLOYD'S, LONDON AN❑ COLLECTIVELY SET FORTH THE INSURANCE <br /> COVERAGE AFFORDED. <br /> This document is to notify the Specified Member named below that the following insurance has been <br /> effected with certain Underwriters at Lloyd's, London (not incorporated) (the" Underwriters") for the <br /> Period ❑f Insurance specified below under the Master Policy specified below(the "Master Policy") issued <br /> to the Master Policyholder. <br /> The insurance is provided under the Master Policy and is in accordance with the terms of the Master <br /> Policy, a copy of which is attached hereto. The Original Master Policy may be inspected at the offices ❑f <br /> the Master Policyholder. The respective names of and proportions underwritten by Underwriters can be <br /> ascertained from the office of the Master Policyholder. <br /> This Master Policy is issued in accordance with the limited authorization granted under Contract to the <br /> Correspondent by certain Underwriters at Lloyd's, London, whose names and proportions underwritten <br /> by them can be ascertained by reference to the said Contract which bears the Seal of the Lloyd's Policy <br /> Signing Office and is on file inthe office of said Correspondent(such Underwriters being hereinafter called <br /> "Underwriters")and in consideration of the premium specified in the Evidence of Insurances issued to the <br /> Specified Members of the Alliance of Allied Health Care Professionals Risk Purchasing Group by <br /> endorsement hereon, Underwriters do hereby hind themselves each for his own part, and not one <br /> for another, their heirs, executors and administrators. <br /> Previous Policy Number UMR Policy Number <br /> YGGA14571 fit-1 B0572NA16AH05 YOGA14S7162-2 <br /> I. NAME AND ADDRESS OF THE SPECIFIED MEMBER <br /> salli benedict <br /> 302 waterside drive <br /> carrbora, NC <br /> 2. PERIOD OF INSURANCE <br /> Effective From 8/10/2018 To 8/10/2019 Loth days at 12:01 a.m. standard <br /> time <br /> 3. insurance is effective with certain UNDERWRITERS AT LLOYD'S, LONDON---Percentage 100% <br />