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DocuSign Envelope ID:60428CE2-9935-40E5-A253-2BFC8FE8BF27 <br /> EASTERN DENTISTS INSURANCE COMPANY <br /> (A Dental Society Risk Retention Group) <br /> CERTIFICATE OF INSURANCE <br /> This certificate is issued as a matter of information only and confers no rights upon the certificate <br /> holder.This certificate does not amend, extend, or alter the coverage afforded by the policies listed <br /> below. <br /> INSURED: <br /> Ibraheern G. Ackall, DDS <br /> 405 Perry Creek Drive <br /> Chapel Hill, NC 27514 <br /> COMPANY AFFORDING COVERAGE: <br /> Eastern Dentists Insurance Company <br /> 200 Friberg Parkway, Suite 2002 <br /> Westborough, MA 01581 <br /> TYPE OF INSURANCE: Occurrence Professional Liability <br /> POLICY NUMBER: NCO1902232 <br /> RETROACTIVE DATE: <br /> POLICY PERIOD: <br /> FROM: 06/01/2019 ; 12:01 A.M TO: 06/01/2020 ; 12:01 A.M. <br /> LIMITS OF LIABILITY: <br /> EACH CLAIM ANNUAL AGGREGATE <br /> $ 1,000,000 $ 3,000,000 <br /> Date Issued: April 2, 2019 <br /> Sheila Anzuoni, Esq. <br /> President and CEO <br /> Eastern Dentists Insurance Company <br /> 200 Friberg Parkway, Suite 2002,Westborough, MA 01581-3999 <br /> 1-800-898-3342 ■ 508-836-4204 a 508-836-9910 Fax ■ www.edic.com <br />