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DocuSign Envelope ID:A551A38E-3703-439F-B000-AB96C3150AB4 <br /> Attachment D- Lex Loci General Liability insurance policy <br /> ACE Fire Underwriers Insurance C H U 13 B` 436 Walnut St ettPhiladelphia, PA 119106 Policy Declarations <br /> This Policy is issued by the stock insurance company listed above("Insurer"). <br /> Policy Number: D94692532 <br /> Renewal of: New <br /> Named Insured & Principal Address: Policy Period: From 01-10-2019 To 01-10-2020 <br /> LEX LOCI TECHNOLOGIES, LLC 12-0 t AM"Standard Time at your mailing <br /> '1314 VV Vernon Ave address shown <br /> Kinston, NC 28504-1000 <br /> ADVANCED PREMIUM: $250.00 <br /> Admitted Status:Admitted Auditable Status: No <br /> Auditable Period: N!A <br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS POLICY,WE AGREE WITH <br /> YOU TO PROVIDE INSURANCE AS STATED IN THIS POLICY <br /> Business Description:Technology <br /> Section 2-LIABILITY <br /> Described Premises- 1314 W Vernon Ave,Kinston,NC 28504-1000 <br /> Prem, Classification Class Code Rating Basis Premium Basis Premium <br /> No. PremrO s PRICO <br /> 1 Computer Software and TE201 Gross Sales 3D,044 S4 $5 <br /> Services(Non-Industrial <br /> Only) <br /> LIMITS <br /> Other than ProducWCompleted Operations Aggregate S2,000,000 <br /> ProducWCompleted Operations Aggregate 52,000,000 <br /> Liability and Medical Expenses S1,000,000 Per Occurrence <br /> Damage to Premises Rented to You S1,060.000 Any One Premises <br /> Medical Expense S5,000 Per Person <br /> Combined Total Aggregate $2,000,000 All Locations Combined <br /> Item C_ OPTIONAL COVERAGES <br /> HIRED AND NON-OWNED AUTO <br /> INCLUDED WITHIN LIABILITY LIMITS <br /> BOP�43591 b(01117) 20115 Page 1 of 3 <br />