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CNALawyers'Professional babiay Program <br />MITCHELL & MITCHELL RENEWAL qUOTATION <br />Insurance Agency, Inc. <br />250 Be[ Marin Keys Blvd., Suite E-2 Prior Acts Date:: 5-1-1989 <br />Novato, CA 94949 <br />License # 0620650 <br />INSURED:Barry A. Ross, APC <br />Limits of Liability <br />Per Claim/Aggregate <br />Effective DateO3/25/15 <br />Premium <br />Please sign and fax this quote sheet back as your acceptance. CNA will then invoice you <br />quarterly or annually. Please circle which of these payment modes works best for you. If you fail <br />to do so, CNA will bill you quarterly. Each installment (other than annual) is subject to a $7 <br />installment fee. Late payments are subject to a $20 charge. There are no other finance charges. <br />CNA encourages you to use their electronic funds transfer system and will provide this <br />information with your first statement. <br />may reasonably be expected to be the basis of a claim against the Insured/firm, having <br />occurred during the past policy year that have not already been reported to CNA. 1 <br />Signature: &"4 A - P,-� Date: <br />k <br />atv\ <br />