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DocuSign Envelope ID:7612C085-C654-45EE-8C46-CB6A802CCEE7 State insurance insolvency guaranty funds are not <br /> available for your risk retention group. <br /> Policy Number: NCO2002232-2232 Broker 1D: SR01 <br /> Named Insured: Sentinel Risk Advisors LLC <br /> Ibraheem G. Ackall, ❑DS 4700 Six Forks Road Suite 200 <br /> Mailing Address: Raleigh, NC 27609 <br /> 405 Perry Creek Drive <br /> Chapel Hill, NC 27514 <br /> The Named Insured is: Individual <br /> Policy Period: <br /> Inception Date 06/01/2020 to 06/01/2021 12:01 AM standard time at the address of the named <br /> insured as stated herein. <br /> Defense Coverages: <br /> Limits of Insurance: <br /> $50,000 each claiml$50,000 aggregate <br /> Limits of Insurance: Dental Prof. Liability Licensing Board <br /> $ 1,000,000 each claim Sexual Misconduct <br /> 3,000,000 Health Information <br /> $ annual aggregate <br /> $ 5,000 medical payments <br /> Policy Form: Occurrence Class: 1: Minimal Sedation or Less <br /> THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THOSE COVERAGES LISTED <br /> ITEM ANNUAL PREMIUM <br /> Named Insured AM= <br /> Vicarious Liability (All) NIC <br /> TOTAL PREMIUM 7f11� <br /> Countersignature Date: 04/01/2020 By; <br /> =A4QVe�- <br /> At Westborough, Massachusetts Sheila Anzuoni, Esq. <br /> Worcester County President and CEO <br /> THIS IS NOT YOUR INVOICE. THE INVOICE IS ENCLOSED. <br /> Acet,Mgr: Debbie Farm Date: 09/01/2016 20213-04-01 oo:40-128 <br />