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2021-596-E-CJRD-Dispute Settlement Center-Outside Agency
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2021-596-E-CJRD-Dispute Settlement Center-Outside Agency
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Last modified
10/22/2021 3:35:45 PM
Creation date
10/22/2021 3:35:25 PM
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Template:
Contract
Date
10/18/2021
Contract Starting Date
10/18/2021
Contract Ending Date
10/22/2021
Contract Document Type
Agreement
Amount
$82,358.00
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UNITED STATES LIABILITY INSURANCE GROUP <br />WAYNE, PENNSYLVANIA <br />This e ndorsement modifies insurance provided under the following: <br />SPECIFIED PROFESSIONS PROFESSIONAL LIABILITY COVERAGE FORM <br />RETROACTIVE DATE ENDORSEMENT <br />Section II. FULL PRIOR ACTS COVERAGE PROVISION, is deleted in its entirety and replaced with <br />the following: <br />In consideration of the premium paid, it is agreed that the Company shall not be liable to make any <br />payment for Loss or Claim Expenses in connection with any Claim made against any Insured based <br />upon, arising out of, directly or indirectly resulting from, in consequence of, or in any way involving a <br />Wrongful Act committed, or alleged to have been committed prior to 10/02/2014. <br />Coverage shall also not apply to any Claim based upon or arising out of any Wrongful Act or <br />circumstances likely to give rise to a Claim of which any Insured had knowledge, or otherwise had <br />basis to reasonably anticipate might result in a Claim, prior to the inception of this Policy (including, <br />but not limited to, any prior Claim or possible Claim or circumstance referenced in the Application.) <br />All other terms and conditions of this Policy remain unchanged. This endorsement is a part of the <br />Insured's Policy and takes effect on the effective date of the Insured's Policy, unless another effective <br />date is shown. <br />SP 210 (07-09)Page 1 of 1 <br />DocuSign Envelope ID: 8BC48CE2-E85D-4CFC-B0A1-5CA49173709A
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