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DocuSign Envelope ID:COB 173FE-65A7-41C5-985D-8D6B23DF80FB <br /> A0 <br /> H I SCOX <br /> encourage courage- <br /> A Guide To Your Professional Liability Policy <br /> The following is a guide to your Professional Liability policy. We have identified several key coverage items along with the limits <br /> and deductibles you have selected. To make it easier,we have also added a brief explanation of those items. <br /> We want you to feel confident about your new policy. If any of the information below is incorrect or if you have any questions, <br /> please contact one of our advisors at 888-202-3007(Mon-Fri, 7am-10pm EST)or manage your policy at:www.hiscox.com/ <br /> manage-your-policy. <br /> Your business details <br /> Name: Pamela Hines <br /> Business name: Intentional Mozayik Counseling &Consulting PLLC <br /> Address: 2003 Chapel Hill Road <br /> City: Durham <br /> State: NC <br /> Zip code: 27707 <br /> Occupation: Mental health counseling <br /> Telephone number: 919-807-1836 <br /> Email address: pamela.hines@intentionalmozayik.com <br /> Your Professional • Policy <br /> Policy number: UDC-4303974-EO-19 <br /> Policy effective dates: From: October 16, 2019 <br /> This determines the time period during which your coverage applies. To: October 16, 2020 <br /> Total cost of policy: XOC <br /> Your limits explained <br /> Each claim limit $2,000,000 <br /> The total amount we will pay for damages, claim expenses(e.g. defense <br /> costs), and supplemental payments for each claim. <br /> Aggregate limit $2,000,000 <br /> The total amount we will pay for damages, claim expenses(e.g. defense <br /> costs), and supplemental payments during the policy period. <br /> Supplemental payments Maximum of$250.00 per day, <br /> The total amount we will pay for expenses your business reasonably incurs $5,000 in total for your policy <br /> as a result of attending an arbitration proceeding or trial in the defense of a <br /> covered claim. <br /> @ Hiscox Inc. 2010 Page 1 <br />