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DocuSign Envelope ID: CBOC1343-06EB-4BE7-9AF6-62EE77BD69FE
<br /> A R CERTIFICATE OF LABILITY SU C DATE(MMIDD/YYYY)
<br /> 12J'29/2015
<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(les)must be endorsed. If SUBROGATION 18 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 —a.,-Act .. .. _
<br /> Marsh USA,Inc. P ON
<br /> 1188 Avenue of the Americas Tr .,Erna: FAX No):
<br /> NewYcrk,NY 10038 t.
<br /> Attn:healthcare.accountscssDmarah.com Fax 212-048-1307
<br /> INSURERS)AFFORDING COVERAGE NAIC B
<br /> 109210-NIP-CAS-16-17 ROA,V GAP �I INSURER:A:New Hampshire Insurance Company 23841
<br /> INSURED INSURER B:Nadonal Union Fire ins.Co.of Pittsburgh,PA 19445
<br /> PLANNED PARENTHOOD SOUTH ATLANTIC
<br /> AN AFFILIATE OF PLANNED PARENTHOOD INSURER C:
<br /> FEDERATION OF AMERICA,INC. INSURER D
<br /> 2207 PETERS CREEK ROAD
<br /> ROANOKE,VA 24017 ,INSU,RER E: l
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: NYC-008171122-04 REVISION NUMBER:4
<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.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> TYPE OF INSURANCE EFF LIC1f EXP
<br /> ILN"S I D:r ce -°
<br /> A X... COMMERCIAL GENES©ILnY POLICY NUMBER ( O/I"YYYI UNITS
<br /> 082695195 01/0112018 0110112017 EACH OCCURRENCE I$ 1,000,000
<br /> CLAIMS MADE OCCUR DAMAGE TO RENTED
<br /> ,r.m one,��Soo $
<br /> X SIR:$100,000 MED EXP r $ 100,000
<br /> - – PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY n JEOT © LOC PRODUCTS-COMP/OP AGO $ 2,000,000
<br /> OTHER $
<br /> AUTOMOBILE LIABILITY MMBINED INGLE UNIT 1$ 1,000,000
<br /> b82695195
<br /> A ANYAUTO 01/01/2016 01/0112017 BODILY INJURY(Per person) �I '
<br /> ALL OWNED SCHEDULED
<br /> AUTOS AUTOS BODILY INJURY(Per accident)AI HIRED AUTOS X ED
<br /> A�OSWNED PROPERTY DAMAGE 1
<br /> ii 31R$100,000 $
<br /> UMBRELLA LIAR I�',OCCUR EACH OCCURRENCE $
<br /> ■ EXCESS LIAB °,CLAIMS-MADE
<br /> DED ,I RETENTION! ;AGGREGATE $
<br /> WORKERS COMPENSATION 1J. I -
<br /> AND EMPLOYERS'LIABILITY Y/N W1 I JL ,
<br /> ANY PROPRIETORIPARTNENEXECUTNE 0 E.L.EACH ACCIDENT I$
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLO t: $
<br /> If describe PROFESSIONAL 8793286 01/01/2016 01/01/2017 PER CLAIM S-POLICY UNIT $ $1,000,000
<br /> DESCRIPTION OF OPERATIONS b rnw..
<br /> B MEDICAL PROFESSIONAL
<br /> CLAIMS-MADE COVERAGE Program Retro Date:11/1176 AGGREGATE $3,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional?tornado;Schedule,may be attached If more apace Is required)
<br /> RE:2015-16 OUTSIDE AGENCY PERFORMANCE AGREEMENT
<br /> COUNTY OF ORANGE IS INCLUDED AS ADDITIONAL INSURED(EXCEPT WORKERS'COMPENSATION)AS THEIR INTERESTS MAY APPEAR.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> COUNTY OF ORANGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> ATTN:BONNIE HAMMERSLEY,COUNTY MANAGER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 200 SOUTH CAMERON STREET ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> HILLSBOROUGH,VA 27278
<br /> AUTHORIZED REPRESENTATIVE
<br /> of Marsh USA Inc.
<br /> I
<br /> Ricid Fitzsimmons —. /44 —
<br /> (0 19882014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
<br />
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