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LAWr r;r /�/ <br />A(iuxr„bµwa Ynkrnn <br />ISSUED TO: Silver & Wright, LLP, Attorneys at Law <br />3281 East Guest[ Road, Suits 700 <br />Ontario, CA 01761 <br />We, the undersigned Insurance Brokers, hereby verify that Protective Insurance Company has bound the following <br />described.. Insurance which Is In force as of the inception date shown below: <br />Professional Liability lasurance <br />POLICY NUMBER; INSURERS: POLIiQY PER <br />LPL - 30000270313 Protective Insurance Company 03/01113 to 03101/14 <br />LIMIT: $500,000.00 each claim/ $1,000.,000.00 annual aggregate <br />(as provided for In the policy wording) <br />DEDUCTIBLE: $15,000.00 each claim <br />(as more fully described in the policy wording). <br />RETRO DATE:. 0310112013 <br />Excluded Prior Claims Notification; CA State Amendatory; Notice to CA <br />Policyholders. <br />ANNUAL PREMIUM: $3,168.00 <br />ifAoolicable: (This coverage binder is contingent upon receipt of the premium due within the terms <br />previously Indicated to you, but In any event no later than 15 days from the Inception date of coverage.) <br />Unless otherwise stated In this binder, Insurance is subject to the definitions, terms, conditions, limitations and <br />exclusions contained In Protective Insurance Company professional liability policy, This Binder is effective for 30 <br />days or until replaced and superseded by a complete Law Gold Professional Liability Insurance policy. <br />You have a continuing duty, through the effective date of the policy Issued, to notify the Company or the Company's <br />authorized representative of any significant material changes to the underwriting Information previously submitted. <br />Please note, in the State of California Jorgensen & Company does business as Jorgenson &. Company Insurance <br />Services License # OD80873. <br />42 W. Allendale Avenue, Allendale, NJ 07401 <br />Tel: 201- 447 -4400 <br />Signed: <br />TO FORM <br />( �[ <br />4q----r <br />ODOE <br />for Jo ens & Company <br />Attorney <br />Authorized Agent for Protective insurance Company <br />Date: 3/6/2013 <br />Please note, in the State of California Jorgensen & Company does business as Jorgenson &. Company Insurance <br />Services License # OD80873. <br />42 W. Allendale Avenue, Allendale, NJ 07401 <br />Tel: 201- 447 -4400 <br />