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LEXING70N INSURANCE COMPANY <br />ADMINISTRATIVE OFFICES: 99 High Street, Boston, Massachusetts 02110-2378 <br />® HEALTHCARE PROFESSIONAL LIABILITY - CLAIMS MADE <br />❑ HEALTHCARE PROFESSIONAL LIABILITY -OCCURRENCE <br />® HEALTHCARE GENERAL LIABILITY - CLAIMS MADE <br />❑ HEALTHCARE GENERAL LIABILITY -OCCURRENCE <br />DECLARATIONS <br />POLICY NUMBER: 1070632 RENEWAL OF POLICY NUMBER: 1070632 <br />Item 1. FIRST NAMED INSURED: FGP-02X HOLDING LLC <br />Item 2. ADDRESS: 1 MILL WHARF PLAZA- S12 <br />SCITUATE, MA 02066-4532 <br />Item 3. POLICY PERIOD: From: September 19, 2024 To: September 19, 2025 <br />(12:01 a.m. Standard Time at the mailing address of the First Named Insured <br />shown in Item 1. above,) <br />Item 4. RETROACTIVE DATE(S), if applicable: <br />(a) HEALTHCARE PROFESSIONAL LIABILITY: 09/19/2021 <br />(b) HEALTHCARE GENERAL LIABILITY: 09/19/2018 <br />Item 5. DESCRIPTION OF OPERATIONS: Human performance training and education <br />Item 6. LIMITS OF INSURANCE: <br />{a) HEALTHCARE PROFESSIONAL LIABILITY <br />Aggregate Limit <br />$3,000,000 <br />Each Medical Incident <br />$1,000,000 <br />Deductible <br />$10,000 <br />Each medical incident <br />Aggregate Deductible <br />None <br />(b) HEALTHCARE GENERAL LIABILITY <br />Aggregate Limit <br />$3,000,000 <br />Each Occurrence Limit <br />$11000,000 <br />Products/Completed Operations Limit <br />$1,000,000 <br />Personal and Advertising Injury Limit <br />$1,000,000 <br />Any one person or organization <br />Fire Damage Limit <br />$300,000 <br />Each fire <br />Deductible <br />$10,000 <br />Each occurrence <br />Aggregate Deductible <br />None <br />Item 7. PREMIUM: This policy is insured by a company <br />(a) Total Premium: $77 000 which is not admitted to transact <br />(b) Minimum Earned Premium At Inception: $ 19,250 insurance in the commonwealth, is not <br />Item B. FORMS AND ENDORSEMENTS: See attached Forms Schad usupervised by the commissioner of <br />��surance and, in the event of an <br />Item 9. PRODUCER NAME AND ADDRESS: RSG SPECIALTY, LLC insolvency of such company, a loss shall <br />176 FEDERAL STREET not be paid by the Massachusetts .Insurers <br />STE 800 Insolvency Fund under 175D. <br />BOSTON, MA 02110 �`ununer chapter <br />B y: <br />Authorized Representative <br />113391 (01/13) Page 1 of 1 <br />HC0752 0 All rights reserved. <br />