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

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A� CERTIFICATE OF LIABILITY INSURANCE DATE(/2013 /YYYY) 12131/2013 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' AX 1166 Avenue of the Americas PHO No New York,NY 10036 E-MAIL Attn:healthcare.accountscss @marsh.com Fax:212-948-1307 ADDRESS: _.. INSURER(s}aFFORDING COVERAGE NAIC# 109210-NIP-CAS-14-15 CHA,N PL INSURER A: N/A N/A 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,NO 27514 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-006769750-02 REVISION NUMBER:I 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 AODL SUER POLICY NUMBER MM/DDYIYYYY MM D.Y(E Y LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ DAMAGET NTED COMMERCIAL GENERAL LIABILITY PR MISES(Ea occurrence CLAIMS-MADE 1�1 OCCUR MED EXP(Any one person) $ _ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPtOP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EA accidenU __ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E ID .L.EACH ACCENT $ D? OFFICER/MEMBER EXCLUDE (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 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:1111/76 AGGREGATE $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) MATTHEW ZERDEN,MD IS AN INSURED UNDER THE ABOVE REFERENCED POLICY. CERTIFICATE HOLDER CANCELLATION MATTHEW ZERDEN,MD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE C/O PLANNED PARENTHOOD OF CENTRAL NORTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CAROLINA ACCORDANCE WITH THE POLICY PROVISIONS. 1765 DOBBINS DRIVE CHAPEL HILL,NO 27514 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Ricki Fitzsimmons ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD