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The University of North Carolina Liability Insurance Trust Fund <br />Legal Departrnent <br />6001 East Wing <br />UNIVERSITY OF NORTH CAROLINA HOSPITALS <br />101 Manning Drive <br />Chapel Hill, NC 27514 <br />CONFIRMATION OF INSURANCE COVERAGE <br />FOR PROFESSIONAL LIABILITY <br />Telephone: (919) 966-3041 <br />Facsimile: (919) 966-6285 <br />This Confirmation of insurance Coverage is being issued specifically to verify <br />professional liability coverage for the referenced insureds while practicing within the <br />scope of their employment responsibilities during the dates of coverage noted. This <br />information should be treated confidentially. <br />INSURED: <br />DATES OF COVERAGE <br />NAME OF CARRIER <br />AMOUNT OF COVERAGE <br />POLICY TYPE: <br />POLICY NUMBER: <br />Completed by: <br />Kathryn Chappell <br />Director of Risk Management <br />Marcia Angle, MD <br />U7/01/b7 - 07/O l/?000 <br />UNC Liability Insurance Trust Fund <br />$3 million of professional liability self-insurance <br />coverage for each individual. <br />Commercial excess insurance over and above the <br />selt=insured coverage. <br />Occurrence Basis <br />Not applicable <br />Date: L " ?3 ' 7 `7 <br />University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill <br />