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iA Specialty <br />Insurance Company <br />Policy No.: L1AA687864 04 <br />Issue Date: 8107/2019 <br />AIX Specialty Insurance Company <br />2 Waterside Crossing, Suite 400, Windsor, CT 06095 <br />Lawyers Professional Liability Policy <br />(NLADA Insurance Program) <br />Item8. Forms Attached by Endorsement: <br />Item 9. NOTICE OF A CLAIM: Report any claim or potential claim to the Company as required by Section G. <br />DUTIES IN THE EVENT OF CLAIM(S) OR POTENTIAL CLAIM(S): <br />AIX Specialty Insurance Company , Lawyers Professional Liability Claims Telephone No.: 8OM58-6688 <br />P.O. Box 15145 Facsimile: 616.843.1079 <br />Worcester, MA 01615 Report a claim online: hanoverprofessionals@hanover.com <br />The Declarations, the Professional Liability Coverage(s), and any endorsement attached thereto, constitute the <br />entire agreement between the Company and the Insured. <br />914-0002-CA 11 11 <br />Page 3 of 4 <br />