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2015-280-E Aging - Sarah Benedict wellness instructor
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2015-280-E Aging - Sarah Benedict wellness instructor
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Last modified
12/19/2019 4:04:06 PM
Creation date
6/24/2015 12:11:36 PM
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Template:
Contract
Date
7/1/2015
Contract Starting Date
7/1/2015
Contract Ending Date
6/30/2016
Contract Document Type
Contract
Amount
$4,000.00
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R 2015-280-E Aging - Sarah Benedict for wellness instructor
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2015
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DocuSign Envelope ID: 5C4F3E91-6CBB-4EE5-8507-23A674D21410 <br /> Evidence of Insurance <br /> For the Specified Members of the Allied Health Professionals Purchasing Group <br /> THIS EVIDENCE OF INSURANCE IS ISSUED TO THE SPECIFIED MEMBER PURSUANT AND <br /> SUBJECT TO THE MASTER POLICY ISSUED TO THE MASTER POLICYHOLDER. THIS <br /> EVIDENCE OF INSURANCE IS NOT THE POLICY, BUT MUST BE READ TOGETHER WITH THE <br /> MASTER POLICY, ANY ENDORSEMENTS ISSUED TO THE SPECIFIED MEMBER AND ANY <br /> OTHER ATTACHMENTS, APPLICATIONS, OR ADDITIONS TO THIS EVIDENCE OF INSURANCE, <br /> ALL OF WHICH SHALL FORM THE POLICY ISSUED TO THE SPECIFIED MEMBER BY CERTAIN <br /> UNDERWRITERS AT LLOYD'S, LONDON AND COLLECTIVELY SET FORTH THE INSURANCE <br /> COVERAGE AFFORDED. <br /> This document is to notify the Specified Member named below that the following insurance has been <br /> effected with certain Underwriters at Lloyd's, London (not incorporated) (the "Underwriters") for the <br /> Period of Insurance specified below under the Master Policy specified below (the "Master Policy") <br /> issued to the Master Policyholder. <br /> The insurance is provided under the Master Policy and is in accordance with the terms of the Master <br /> Policy, a copy of which is attached hereto. The Original Master Policy may be inspected at the offices <br /> of the Master Policyholder. The respective names of and proportions underwritten by Underwriters <br /> can be ascertained from the office of the Master Policyholder. <br /> Previous#: New Business Auth Ref#: NA12HY05 Policy#: 1408YA006351 <br /> 1. NAME AND ADDRESS OF THE SPECIFIED MEMBER <br /> Salli Benedict <br /> 302 waterside drive, carrboro, NC, 27510 <br /> I <br /> 2. PERIOD OF INSURANCE <br /> EFFECTIVE FROM 08/06/2014 to 08/06/2015 both days at 12:01 a.m. standard time <br /> i <br /> 3. Insurance is effective with certain UNDERWRITERS AT LLOYD'S, LONDON—Percentage: 100% <br /> 4. Covered Allied Healthcare Profession: Registered Yoga Teacher(RYT), certified Ageless Grace Educator; <br /> Masters in Public Health; Nia White Belt <br /> 5. LIMITS OF LIABILITY AND DEDUCTIBLE <br /> A. Professional Liability: $ 1,000,000 Each Claim <br /> $2,000,000 Aggregate for All Claims <br /> E <br /> B. Other Specified Liability Coverages <br /> 1. General Liability: $ 1,000,000 Each Claim <br /> $2,000,000 Aggregate for all Claims <br /> Page 2 of 7 <br /> C <br />
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