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A`°RO® CERTIFICATE OF LIABILITY INSURANCE DATE/2013 IYYYY) <br /> 1213112013 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Marsh USA,Inc. NAME: <br /> 1166 Avenue of the Americas PHONE FAX <br /> New York,NY 10036 E-MAIL x AIC No <br /> Attn:healthcare.accountscss @marsh.com Fax:212-948-1307 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> 109210-NIP-CAS-14-15 CHA,N PL INSURERA: NIA N/A <br /> INSURED INSURER B: N/A NIA <br /> PLANNED PARENTHOOD OF CENTRAL NORTH <br /> CAROLINA,AN AFFILIATE OF PLANNED INSURER C: National Union Fire Ins.Co.of Pittsburgh,PA 19445 <br /> PARENTHOOD FEDERATION OF AMERICA,INC. INSURER D <br /> 1765 DOBBINS DRIVE <br /> CHAPEL HILL,NC 27514 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: NYC-005762859-09 REVISION NUMBER:3 <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR To_DL SUER POLICY EFF POLICY EXP <br /> LT <br /> R TYPE OF INSURANCE INSR POLICY NUMBER MM/DDIYYYY I (MM/DDIYYYYI LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ <br /> CLAIMS-MADE E OCCUR ME EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU• OTH- <br /> AND EMPLOYERS'LIABILITY Y/N I ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? NIA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ <br /> C MEDICAL PROFESSIONAL 6793286 01/01/2014 01/01/2015 PER CLAIM $1,000,000 <br /> CLAIMS-MADE COVERAGE Program Retro Date:11/1/76 AGGREGATE $3,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> KAREN DAVIS IS AN INSURED UNDER THE ABOVE REFERENCED POLICY. <br /> CERTIFICATE HOLDER CANCELLATION <br /> KAREN DAVIS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CIO PLANNED PARENTHOOD OF CENTRAL NORTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CAROLINA ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1765 DOBBINS DRIVE <br /> CHAPEL HILL,NC 27514 <br /> AUTHORIZED REPRESENTATIVE <br /> of Marsh USA Inc. <br /> Ricki Fitzsimmons f - <br /> @ 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />