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LAWYERS PROFESSIONAL LIABILITY INSURANCE <br /> Policy No: 17B01328163 <br /> DECLARATION PAGE Unique Market Reference Number: B11351 7601 328 <br /> CLAIMS MADE FORM/DEFENSE WITHIN LIMITS <br /> THIS IS A CLAIMS MADE FORM. COVERAGE IS LIMITED TO LIABILITY FOR ONLY THOSE CLAIMS THAT ARE <br /> FIRST MADE AGAINST THE INSURED AND REPORTED TO THE COMPANY DURING THE POLICY PERIOD. <br /> Please Read Carefully <br /> 1. Policy Issued To: <br /> Snohomish County Legal Services <br /> 2731 Wetmore Ave, Suite 410 <br /> Everett, WA 98201 <br /> 2. Period of Coverage: 2/1/2018 to 2/1/2019 <br /> 3. Coverages, Deductibles, Limits of Liability, and Retroactive Dates: <br /> (Optional Coverage Described in the Policy Only Applicable If So Indicated Below With Listed Premium) <br /> Coverage Type Limit of Limit of Retro- <br /> Deductible Liability Per Liability Active Premium <br /> Claim Aggregate Date <br /> Professional Liability(Art I, Sec A) $1,000 $1,000,000 $1,000,000 7/1/83 $1,687.00 <br /> Including The Following Optional <br /> Coverages <br /> DStrikethrough As Not Applicable) <br /> isciplinary Proceedings (Defense <br /> Coverage) (Art I, Section B) <br /> Defense of Contempt Proceedings <br /> (Art I, Sec. C) <br /> Outside Practice of Law(Art. I, Sec A(6) N/A None None None N/A <br /> Personal Injury(Sublimits) $1,000 $100,000 $300,000 7/1/83 Included <br /> Management Liability (Art I, Sec D) $1,000 $1,000,000 $1,000,000 2/1/11 $493.00 <br /> Employment Liability (Art I, Sec E) N/A None None None N/A <br /> Punitive Damages(Art IV, Sec A 6) N/A None None None N/A <br /> Injunctive Relief N/A None None None N/A <br /> Total Premium: $2,180.00 <br /> WA Surplus Lines Tax: $43.60 <br /> WA Stamping Fee: $2.18 <br /> Total Due: $2,225.78 <br /> This contract is registered and delivered as a surplus line coverage under the insurance code of the state of <br /> Washington, Title 48 RCW. It is not protected by any Washington state guaranty association law. Laurie S. <br /> Coleman <br />