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DocuSign Envelope ID:088E9D73-6D60-4316-99EB-19302C74139C <br /> Client # 073937 <br /> EMORANDUM OF INSURANCE ate Issued 06/03/2019 <br /> Producer This memorandum is issued as a matter of information <br /> only and confers no rights upon the holder. This <br /> Mercer Consumer, a service of memorandum does not amend, extend or alter <br /> Mercer Health & Benefits Administration LLC coverages afforded by the Certificate listed below. <br /> P.O. Box 14576 <br /> Des Moines, IA 50306-3576 <br /> 1-800-503-9230 ompany Affording Coverage <br /> nsured Liberty Insurance Underwriters Inc. <br /> Lorraine Lewis <br /> 107 Morningside Drive <br /> Carrboro, NC 27510-1254 <br /> This is to certify that the Certificate Iisted below has been issued to the insured named above for the policy period indicated, not <br /> withstanding any requirement, term or condition of any contract or other document with respect to which this memorandum may he <br /> issued or may pertain,the insurance afforded by the Certificate described herein is subject to all the terms, exclusions and conditions of <br /> such Certificate.The limits shown may have been reduced by paid claims. <br /> The Memorandum of Insurance and verification of payment are your evidence of coverage.No coverage is afforded unless the premium <br /> 's successfully paid in full. <br /> Type of Insurance Certificate Number Effective Date Expiration Date Limits <br /> Professional Liability AHX-102357008 06/0112019 06/01/2020 Per Incident/ $1 000 000 <br /> Federation <br /> occurrence <br /> AnnualAggregate $3,000,000 <br /> PROOF OF INSURANCE <br /> Memorandum Holder; Should the above describe Certificate be cancelled <br /> PROOF OF COVERAGE ONLY before the expiration date thereof,the issuing company <br /> will endeavor to mail 30 days written notice to the <br /> Memorandum Holder named to the left, but failure t <br /> mail such notice shall impose no obligation or liability <br /> of any kind upon the company, its agents o <br /> representatives. <br /> Authorized Representative <br /> Mark Brostowitz <br /> Mercer Consumer,a service of Mercer Health&Benefits Administration LLC.In CA dlbla Mercer Health&Benefits Insurance Services LLC.CA License#OG39709 <br />