2014-406 Finance - Planned Parenthood of Central NC - Outside Agency Performance Agreement $20,000

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ACC>R°> CERTIFICATE OF LIABILITY INSURANCE DATE 12013 /YYYY) 12t3112013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marsh USA,Inc. NAME: 1166 Avenue of the Americas A/oN o xt: IAI.No New York,NY 10036 E-MAIL Attn:healthcare.accountscss @marsh.com Fax:212.948-1307 ADDRESS: INSURERS}AFFORDING_COVERAGE NAIC# 109210-NIP-CAS-14-15 CHA,N PL INSURER A: N/A NIA INSURED INSURER B: N/A N/A PLANNED PARENTHOOD OF CENTRAL NORTH CAROLINA,AN AFFILIATE OF PLANNED INSURER C: National Union Fire Ins,Co.of Pittsburgh,PA 19445 PARENTHOOD FEDERATION OF AMERICA,INC. INSURER D; 1765 DOBBINS DRIVE CHAPEL HILL,NC 27514 INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-006667247-12 REVISION NUMBER:3 THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB _ POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DDfYYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea occurrence $ CLAIMS-MADE El OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident_ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN IM ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L,DISEASE-POLICY LIMIT $ C MEDICAL PROFESSIONAL 6793286 01/01/2014 01/01/2015 PER CLAIM $1,000,000 CLAIMS-MADE COVERAGE Program Retro Date:11/1/76 AGGREGATE $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CARMEN BEAMON,MD IS AN INSURED UNDER THE ABOVE REFERENCED POLICY, CERTIFICATE HOLDER CANCELLATION CARMEN BEAMON,MD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE C/O PLANNED PARENTHOOD OF CENTRAL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NORTH CAROLINA ACCORDANCE WITH THE POLICY PROVISIONS. 1765 DOBBINS DRIVE CHAPEL HILL,NC 27514 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Ricki Fitzsimmons --Z tee. / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD