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DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC <br /> a, 7 G� <br /> s 5 7590C * RENEWAL CERTIFICATE ** <br /> Renewal of Number Direct Bill Policy <br /> POLICY United States Liability insurance Company <br /> DECLARATIONS Ns <br /> 1190 Dean Park Drive,Wayne,Pennsylvania 19087 <br /> No. SP 1557590D A Member Company of United States Liability Insurance Group <br /> NAMED INSURED AND ADDRESS- <br /> Dispute Settlement Center, Inc_ <br /> 302 Weaver Street <br /> Carrboro, NC 27510 <br /> POLICY PERIOD:(MO. DAY YR.) From: 1 0/0 212 0 1 8 To: 10/02/2019 12:01 A.M.STANDARD TIME AT YOUR <br /> MAILING ADDRESS SHOWN ABOVE <br /> BUSINESS DESCRIPTION: Mediator/Training Specialist <br /> ffi <br /> THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. <br /> PREMIUM <br /> Specified Professions Professional Liability Errors And $756.00 <br /> Omissions Coverage Part <br /> TOTAL,: $756.00 <br /> Coverage Form(s)and Endorsement(s)made a part of this policy at time of issue <br /> See Endorsement EOD (1/95) <br /> Agent: BIN INSURANCE HOLDINGS,LLC.DBA INSUREON(CHICAGO) issued: 0914412018 3:24 PM <br /> (4034) <br /> 36 LaSalle St.Ste.2506 . f�� <br /> Chicago,[t 566U2-2-2514 �T(y�, <br /> By. Authorized Represe ati s <br /> THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE PART DECLARATIONS, <br /> L1PC(08-07} COVERAGE PART COVERAGE FORMS]AND FORMS AND ENDOR E SEMENTS,IF ANY,ISSUD TO FORM A PART THEREOF, <br /> COMPLETE THE ABOVE NUMBERED POLICY. <br />