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DocuSign Envelope ID:2615EA1 B-DB4D-4BB1-BC27-8E1 D55FDF344 <br /> EVIDENCE OF INSURANCE ISSUE DATE: 04/06/2019 <br /> Master Policy Named Insured THIS EVIDENCE I5 ISSUED AS A MATTER OF <br /> National Professional Purchasing Group Association, Inc. INFORMATION ONLY AND CONFERS NO RIGHTS UPON <br /> c/o Lockton Affinity, LLC THE EVIDENCE HOLDER. THIS EVIDENCE DOES NOT <br /> P. ❑. Box 410679 AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED <br /> Kansas City, Missouri 64141-0679 BY THE CERTIFICATE DESCRIBED BELOW. <br /> Named Insured Member: INSURERS AFFORDING COVERAGE: <br /> Connie Winstead <br /> 3000 Montgomery St <br /> Durham, NC 27705-5640 Certain Underwriters at Lloyd's, London <br /> Member Certificate Number:AFR-PG-0008845-0 <br /> Occupation: Allied Health Professional <br /> THE EVIDENCE OF INSURANCE LISTED BELOW HAS BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br /> RESPECT TO WHICH THIS DOCUMENT MAY PERTAIN, THE INSURANCE AFFORDED BY THE CERTIFICATE ISSUED TO THE MEMBER <br /> NAMED ABOVE IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF THE MASTER POLICY TO WHICH IT REFERS TO, <br /> AGGREGATE LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 1. Unique Market Reference Number: B0713GLPR1801814 <br /> 2. Policy Period: The Policy Period shall commence during the Policy Period set forth below. Coverage shall <br /> commence from the date upon which the Named Insured holds a valid RPG membership during the Policy Period <br /> and shall continue up to but not exceeding 365 days in all. <br /> From: 04/30/2019 <br /> To: 04/30/2020 <br /> Both dates at 12:01 a.m. Local Time at the address listed in Named Insured stated above. <br /> 3. Policy Administrator: Lockton Affinity, LLC P.O. Box 410679 Kansas City, MO 64141-0679 <br /> 4. Ins ring Agreements and Limits of Liability: <br /> A. Professional Liability: <br /> i. Each Claim includes Claims Expenses $1,000,000.00 <br /> ii. Aggregate Limit of Liability includes Claims Expenses $3,000,000.00 <br /> B. General Liability (includes Host Liquor Liability) <br /> i. Each Claim includes Claims Expenses $1,000,000.00 <br /> ii. Aggregate Limit of Liability includes Claims Expenses $3,000,000.00 <br /> C. Fire/Water Damage Legal Liability from any one fire or Water Damage <br /> includes Claims Expenses $100,000 <br /> D. Medical Expense Payments <br /> i. Each Person $2,000 <br /> ii. Aggregate Limit of Liability $50,000 <br /> E. Policy Aggregate Limit of Liability includes Claims Expenses $3,000,000.00 <br /> Supplementary payments are in addition to these limits. <br /> EVIDENCE HOLDER CANCELLATION <br /> SHOULD THE ABOVE DESCRIBED POLICY BE <br /> CANCELLED BEFORE THE EXPIRATION DATE <br /> THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS <br /> PROOF OF COVERAGE AUTHORIZED REPRESENTATIVE <br /> LIi 482 EOl (01-18) <br />