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2014-526 Health - Wake Radiology Diagnostic Imaging, Inc. to provide x-ray services to patients referred by the OCHD $6,400
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2014-526 Health - Wake Radiology Diagnostic Imaging, Inc. to provide x-ray services to patients referred by the OCHD $6,400
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Last modified
5/24/2017 3:42:01 PM
Creation date
11/7/2014 3:30:28 PM
Metadata
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Template:
BOCC
Date
11/7/2014
Meeting Type
Work Session
Document Type
Contract
Agenda Item
Manager signed
Amount
$6,400.00
Document Relationships
R 2014-526 Health - Wake Radiology Diagnostic Imaging, Inc. X-ray services to patients referred by the OCHD $6,400
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2014
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Medical Mutual` — -------■-� <br /> PaoTlrmuc 001 PROSSS§40* <br /> CERTIFICATE OF INSURANCE, <br /> This certificate is issued as a matter of information only and confers no rights upon the certificate bolder. <br /> This certificate does not amend,extend or alter the coverage afforded by the policies listed below. <br /> INSURED: <br /> Wake Radiology Consultants PA <br /> Attn: Accounts Payable <br /> PO Box 19366 <br /> Raleigh,NC 27619 <br /> COMPANY AFFORDING COVERAGE: <br /> Medical Mutual Insurance Company of North Carolina <br /> 700 Spring Forest Road 4th Floor <br /> Raleigh,NC 27609 <br /> TYPE OF INSURANCE: Claims-Made Professional Liability <br /> POLICY NUMBER:PGl 12094 RETROACTIVE DATE:April 6, 1976 <br /> POLICY PERIOD: <br /> FROM: October 1,2014;12:01 A.M. TO:October 1,2015;12:01 A.M. <br /> LIMITS OF LIABILITY: <br /> EACH CLAIM ANNUAL AGGREGATE <br /> 6,000,000 8,000,000 <br /> Date: August 07.2014 <br /> Authori epresentative <br /> CERTIFICATE HOLDER- <br /> Wake Radiology Diagnostic Imaging Inc <br /> OCT 2 4 2014 <br /> 3614 Haworth Dr <br /> . Raleigh,NC 27609 <br /> By— <br /> MEDICAL MUTUAL INSURANCE COMPANY <br /> PM0901NC(06108) OF NORTH CAROLINA DINKINL <br />
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