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Account Number:NC MOXI 7280 Date: 9/07/23 Initials:ALANJOB <br />CERTIFICATE OF INSURANCE <br /> ALLIED WORLD INSURANCE COMPANY <br />C/O: American Professional Agency, Inc. <br />95 Broadway, Amityville, NY 11701 <br />800-421-6694 <br />This is to certify that the insurance policies specified below have been issued by the company <br />indicated above to the insured named herein and that, subject to their provisions and conditions, <br />such policies afford the coverages indicated insofar as such coverages apply to the occupation <br />or business of the Named Insured(s) as stated. <br />THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS <br />THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE. <br />Name and Address of Named Insured:Additional Named Insureds: <br />MOXIE DBT PLLC CHARLEEN ENNS <br />728 CARL DR <br />CHAPEL HILL NC 27516 <br />Type of Work Covered:SOCIAL WORKERS / PROFESSIONAL SOCIAL WORKER <br />Location of Operations:N/A <br />(If different than address listed above) <br />Claim History:None <br />Retroactive date is 10/01/2011 <br />Policy Effective Expiration Limits of <br />Coverages Number Date Date Liability <br />PROFESSIONAL/1,000,000 <br />LIABILITY 5600-4943 10/01/2023 10/01/2024 3,000,000 <br />NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED, WHO SHALL <br />ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE OF <br />CANCELLATION. <br />Comments:Defense Reimbursement Proceedings Limit is $35,000. <br />This Certificate Issued to: <br />Name:MOXIE DBT PLLC <br />728 CARL DR <br />Address: <br />CHAPEL HILL NC 27516 Authorized Representative <br />APA 00138 00 (06/2014) <br />DocuSign Envelope ID: 0283D532-69C0-440C-9BDF-DFC93F30B117