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The University of North Carolina Liability Insurance Trust Fund <br />Legal Departrnent Telephone: (919) 966-3041 <br />6001 East Wing Facsimile: (919) 966-6285 <br />UNIVERSITY OF NORTH CAROLINA HOSPITALS <br />101 Manning Drive <br />Chapel Hill, NC 27514 <br />CONFIRMAT IUN OF INSURANCE COVERAGE <br />FOR PROFESSIONAL LIABILITI' <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 />_ ~ ~"'( <br />Kathryn Chap ell <br />Director of Risk Management <br />Michael Fisher, MD <br />12/0 l /95 - 07/0 l /2000 <br />UNC Liability Insurance Tnist Fund <br />$; million of professional liability self-insurance <br />coverage for each individual. <br />Commercial excess insurance over and above the <br />self=insured coverage. <br />occurrence oasis <br />Not applicable <br />Date: ~' 8 ` ~ ~ <br />University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill <br />