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Arch <br />Insurance Group <br />ARCH INSURANCE COMPANY <br />A Missouri Corporation <br />ADMINISTRATIVE OFFICE HOME OFFICE <br />One Liberty Plaza 3100 Broadway, Suite 511 <br />53rd Floor Kansas City, MO 64111 <br />New York, NY 10006 <br />Tel; 800 -817 -3252 <br />LAWYERS PROFESSIONAL LIABILITY INSURANCE POLICY <br />THIS IS A CLAIMS -MADE AND REPORTED POLICY. PLEASE REVIEW YOUR POLICY <br />CAREFULLY, THE POLICY IS LIMITED TO LIABILITY FOR ONLY THOSE CLAIMS THAT <br />ARE FIRST MADE AGAINST THE INSURED AND REPORTED TO THE COMPANY DURING <br />THE POLICY PERIOD UNLESS AND TO THE EXTENT THAT AN EXTENDED REPORTING <br />PERIOD OPTION APPLIES. <br />DECLARATIONS <br />Policy Number: IILPLO681810 Renewal of: IILPLO681809 <br />Item 1 Named Insured and Address Item 2. Producer Name <br />Gutierrez, Pierre & Erickson APC Marsh Affinity - West Des Moines, a service of Seabury & Smitl <br />El Central Real Plaza Insurance Program Management <br />12616 Central Avenue PO Box 9277 <br />Chino, CA 91710 Des Moines, rA 50306.9277 <br />Item 3. <br />Policy Period From To 12:01 A.M. Standard Time at the address <br />7/16/2013 7/16/2014 of the Named Insured as stated herein. <br />Item 4. <br />Limit Liability <br />$ 1,000,000 Each Claim <br />„AP'1PROVF,D AS TO FORM, <br />$ 3,000,000 Aggregate <br />pj <br />�y- =--- <br />a, Claims expenses are included within the Limit of Liability,^�._� <br />-- <br />Laura A. Rossini <br />Item 5. <br />Deductible <br />$ 25,000 Per Claim <br />Sr • Assistant CRY Attorney <br />The deductible amount specified above applies to both damages and claim expenses. <br />Item 6. <br />Premium <br />$ 36,177.00 Amount <br />No, of Lawyers 4 <br />Item 7. <br />Forms Attached at Issue <br />01 LPL 0060 00 1 102 Specific Attorney Prior Acts <br />05 LPL 0002 05 06 09 Policy Form <br />00 LPL 0174 00 0412 Data Breach Expenses Endorsement <br />00 ML 0065 00 0607 OFAC <br />By acceptance of this policy the Insured agrees that the statements In the Doclamgons and the ppp7koallpn end any ol=hmants hamin nra lho Instnad'e npraammnls and <br />reoresentellons and that this w 1w embodies all the agreements adating between the Inured radon Compsrry or nrvy of lw (ap[asanlclivao rglnllna 101119s Inowanco. <br />'ipo Not Write Remarks Countersigned At Issue Date <br />In This Bolt Des Moines 7/23/2013 <br />Authorized Representative <br />7/23/2013 <br />Countersign Date <br />06 LPI -DO090 00 12 03 Page 1 of 1 <br />