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Lawyers Professional Liability <br />Policy Declarations <br />Form No: G118012A32C (10-2002)Policy No: 5096501940 <br />Policy Declarations; Page: 1 of 3 Policy Effective Date: 09/19/2024 <br />Underwriting Company:Continental Casualty Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 1 of 28 <br />© Copyright CNA All Rights Reserved. <br />LAWYERS PROFESSIONAL LIABILITY POLICY DECLARATIONS <br />Agency:Branch:Policy Number:Insurance is provided by <br />700324 912 5096501940 <br />Continental Casualty Company, <br />151 N Franklin St Chicago IL 60606 <br />A Stock Insurance Company. <br />NOTICE TO NORTH CAROLINA POLICYHOLDERS: <br />Defense Coverage is within the Limits of Liability <br />unless otherwise endorsed. Please review the <br />policy carefully and discuss this coverage with <br />your insurance agent or broker. <br />1.NAMED INSURED AND ADDRESS:NOTICE TO POLICYHOLDERS: <br />The Law Office of Derrick J. Hensley <br />401 MEADOWLANDS DR STE 201, <br />HILLSBOROUGH, NC 27278-8134 <br />This is a Claims Made and Reported policy. It applies only to those claims that are <br />both first made against the insured and reported in writing to the Company during <br />the policy period. Please review the policy carefully and discuss this coverage with <br />your insurance agent or broker. <br />2.POLICY PERIOD: <br />Inception: 09/19/2024 <br />at 12:01 A.M. Standard Time at the address shown above Expiration: 09/19/2025 <br />3.LIMITS OF LIABILITY: <br />Inclusive of Claims Expenses <br />Death or Disability and Non-Practicing <br />Extended Reporting Period Limit of Liability: <br />Each Claim: $200,000 <br />Aggregate: $600,000 <br />Each Claim: $200,000 <br />Aggregate: $600,000 <br />4.DEDUCTIBLES: <br />Deductibles <br />Inclusive of Claims Expenses Aggregate: $1,000 <br />5.POLICY PREMIUM: <br />Annual Premium:$900.00 <br />Total Amount:$900.00 <br />Includes CNA Risk Control Credit of $0.00 <br />6.FORMS AND ENDORSEMENTS ATTACHED AT INCEPTION: <br />G118012A32C (Ed. 10-2002), G118011A (Ed. 06-2015), G118016ACC (Ed. 12-2011), G118029A <br />(Ed. 04-2008), G118031A (Ed. 04-2008), G118039A32 (Ed. 06-2008), G118041A32 (Ed. 07-1997), <br />G118062A32 (Ed. 04-2008), G118064A32 (Ed. 06-2015) <br />Docusign Envelope ID: D93C5068-8EF6-4BC9-8D5A-4D4FF1A6FBEF