2014-301 Health - M. Monica Meng-Haggerty to provide services to OCHD's Dental Clinic $11,200

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CERTIFICATE OF LIABILITY INSURANCE 04/01/2014 PRODUCER/AGENT THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Dentist's Advantage AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 159 East County Line Road CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE Hatboro,PA 19040 AFFORDED BY THE POLICIES BELOW. Phone-866-2.19-6533 FRX7 866-202-6601 INSURERS AFFORDING COVERAGE INSURED INSURER A: National Union Fire Insurance Company of Pittsburgh,PA. Meng Monica Meng-Haggerty,DDS INSURER B: 215 Bluefield Rd INSURER C: Chapel Hill,NC 27517 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TYPE OF INSURANCE POLICY FFECTIVE POLICY EXPIRATION LIMITS POLICY NUMBER DATE(MM/DDNY) DATE(MM/DDNY) GENERAL LIABILITY EACH OCCURRENCE Not Included ❑COMMERCIAL GENERAL LIABILITY TENANTS'LEGAL LIABILITY Not Included ❑CLAIMS MADE❑OCCURRENCE MED EXP(An)one person) Not Included ❑ PERSONAL 8•ADV INJURY Not Included GENERAL AGGREGATE Not Included ❑ PRODUCTS-COMP/OP AGG Not Included GEN'L AGGREGATE LIMIT APPLIES PER: ❑POLICY ❑ PROJECT ❑LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT El ANY AUTO aent BODILY Not Included 11 ALL OWNED AUTOS An pen n) one rso 1:1 BODILY INJURY NOt Included SCHEDULED AUTOS (Per cident ❑HIRED AUTOS ac ❑NON-OWNED AUTOS PROPERTY DAMAGE ❑ (Per accident) GARAGE LIABILITY AUTO ONLY-EACH ACCIDENT ❑ANY AUTO EA ACC ❑ OTHER THAN AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE ❑ CLAIMS MADE ❑OCCURRENCE AGGREGATE ❑ DEDUCTIBLE ❑ RErENTiON WORKER'S COMPENSATION AND ❑WC STATUTORY ❑OTHER EMPLOYER'S LIABILITY E.L.EACH ACCIDENT E.L.DISEASE-EACH EMPLOYEE E.L.DISEASE-POLICY LIMIT OTHER A Med,Malpractice DNU 083946381 04/09/2014 04/09/2015 Per Claim: $1,000,000 Retroactive Date: Aggregate: IS3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insured Dentist: Retro Date: Insured Location: Meng Monica M Men -Haggerty,DDS 215 Bluefield Rd,Chapel Hill,NC 27517 CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION THIS CERTIFICATE IS PROVIDED AS PROOF THAT A POLICY OF INSURANCE IS OR HAS BEEN IN FORCE.IT IS NOT A GUARANTEE THAT THIS COVERAGE CONTINUES IN FORCE.FURTHERMORE, AS A CERTIFICATE HOLDER,YOU WILL NOT BE PROVIDED WITH NOTICE SHOULD THE INSURANCE COVERAGE DESCRIBED BE TERMINATED. 1 Dentist's Advantage