Orange County NC Website
DocuSign Envelope ID:82FA214D-F8D2-4F89-9551-89D21AOA870C <br /> MEMORANDUM OF PROFESSIONAL LIABILITY INSURANCE Current as of, <br /> June 5 2015. <br /> PRODUCER <br /> MARSH USA INC This Memorandum is issued as a matter of information only to authorized viewers for their Internal <br /> 540 W.MADISON use only and confers no rights upon any viewer of this Memorandum other than those provide for in <br /> CHICAGO,ILLINOIS 60661 the policy.This Memorandum does not amend,extend or alter the coverage described below.This <br /> UNITED STATES OF AMERICA Memorandum may only be copied,printed and distributed wlthin an authorized viewer and may only <br /> be used and viewed by an authorized viewer far Its ihtemal use.Any other use,duplication or <br /> distribution of this Memorandum withaut prior written consent is prohibited, <br /> INSURED COMPANIES AFFORDING_COVERAGE NAIC# <br /> COMPANY STEADFAST INSURANCE COMPANY 26387 <br /> WALGREEN CO.AND SUBSIDIARIES A <br /> 300 WILMOT RD.,MS 43108 COMPANY <br /> DEERFIELD,ILLINOIS 60015-5223 B <br /> UNITED STATES OF AMERICA COMPANY <br /> C <br /> COMPANY <br /> D <br /> ... ... .... <br /> GOVRA�i _ <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT, <br /> TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MEMORANDUM MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY <br /> 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. <br /> POLICY- - :.fiMiT5 -- <br /> CO LETTER .. TYPE OF INSURANCE POLICYNUMBER EFFECTIVE -=EXPIRATION LIMTrS:iN USp UNLESS: <br /> _.. :. PATE -,:....DATE"- ..QTHERNIiSE'INPICATEV-: <br /> HEALTH CARE PROFESSIONAL <br /> LIABILITY EACH MEDICAL INCIDENT <br /> UMBRELLA FORM AGGREGATE <br /> HEALTH CARE PROFESSIONAL <br /> A LIABILITY-EXCESS HPC5761488-02 7/1/2015 7/1/2016 EACH MEDICAL INCIDENT $ $5,00D,000 <br /> I UMBRELLA FORM AGGREGATE $5,000,000 <br /> X OTHER THAN UMBRELLA FORM $ <br /> OTHER COVERAGE <br /> ADDITIONAL xN:FORMATION <br /> Walgreen Cc.and its subsidlarles are insured under a comprehensive program of insurance in excess of various self-insured retentions. Coverage is provided for claims,including defense <br /> costs,for which Walgreen Co.is legally liable. <br /> !:' The Melnorarldum Of InSUranoe serves sCd. to Iis4.tnSurance.:policies,Limits and dates of coverage.Any madificatitins hereto are pot authorized. <br />