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Specialty Policy No.: L1AA687864 04 <br />Issue Date: 8107/2019 <br />Insurance Company <br />AIX Specialty Insurance Company <br />2 Waterside Crossing, Suite 400, Windsor, CT 06095 <br />Lawyers Professional Liability Policy <br />(NLADA Insurance Program) <br />Coverage Summary (con%) <br />This policy Includes only those Coverages designated with a "Yes" as 'Included" in the Coverage Summary set <br />forth below. If neither "Yes" nor "No" is designated for a listed Coverage, such Coverage Is "Not Included." <br />Item 4. <br />Goverage/Limit of Liability <br />Outside Practice of Law Endorsement <br />Primary Pro Bono Endorsement <br />Retroactive Date: 7/2012015 <br />Additionallnsured(s) <br />Retroactive Date: <br />Item 6. Included Item 6. <br />Deductible (Yes/No) Premium <br />Additional Insured(s) Endorsement (see Schedule) <br />Cancellation Notification Endorsement <br />Policy Premium: <br />Surcharges/Taxes: <br />Surplus Lines Tax <br />Stamping Fee <br />Total Amount Due: <br />Itom7. Forms Attached at Issue: <br />D-1 914-0002-CA 11 11 <br />SIG-0001 0910SL XIL0002 06 07 <br />914-0002-CA 11 11 <br />No <br />Yes <br />Yes <br />No <br />$16,898.00 <br />$476.94 <br />$31.80 <br />$16,406.74 <br />AIX QFAC0812 914.0001CV-CA0910 914-00010910 <br />AIX CLRG 06 16 914-0027 0112 914-0021 01 12 <br />Paqe 2 of 4 <br />