Proof of Coverage
 

Five Star Appraisers
E&O Program


550 W. Van Buren, Suite 1500 - Chicago, IL 60607
(800) 497-4644      Fax (866) 720-5003


1.

Name and Address of Insured:
Donald W. Graham
dba Graham & Associates, Inc.
P.O. Box 84
San Marcos, TX 78667

2.
Insurer: Illinois Union Insurance Company
Rating: AM Best: A (Excellent) S&P: A+ (Good)
3.
Coverage: Errors and Omissions

4.
Policy Number: N0 41 75 27 A
5.
Limits of Liability: $1,000,000 Each Claim, including Claims Expenses
    $1,000,000 Annual Aggregate, including Claims Expenses
     
6.
Deductible: $500
Each Claim, including Claims Expenses
7.
Annual Policy Premium: $1263.00
Gross Premium
$50.00 Processing Fee
$63.69 TX Surplus Lines Tax @ 4.85%
$1.31 TX Stamping Fee @ 0.10%

$1,378.00
Total Premium
     
8.
Policy Period: 12/2/2006 to 12/2/2007
12:01 a.m. standard time at the location stated above.

9.
Retroactive Date: 01/12/1992
Definition: Retroactive Date (Prior Acts Coverage) - This is the date from the Insured warrants that "CONTINUOUS" Professional Liability coverage has existed without interruption. Appraisers obtaining this insurance for the FIRST time or renewing insurance after a lapse in coverage will have a retroactive date the same as the policy inception date. A retroactive date indicates how far back in time this insurance will provide coverage for prior acts. Any claim made for an appraisal done prior to the retroactive date will be excluded under this policy.

10.
Based on: 2 appraiser(s)
 
Schedule of Appraisers
Type: Name:
Appraiser Mark D. Graham
Appraiser Donald W. Graham

11.
This "Proof of Coverage" notice is your formal "Evidence of Insurance" to be used (or copies thereof) to notify banks, and other third parties that such coverage exists.

Date of Issuance: Oct 04, 2005

Kevin M. Ottley
Authorized Representative


© 2002 Graham & Associates, Inc.