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2018-494-E Health - Triangle Urology vasectomy services
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2018-494-E Health - Triangle Urology vasectomy services
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Last modified
8/28/2018 11:41:24 AM
Creation date
8/27/2018 10:51:20 AM
Metadata
Fields
Template:
Contract
Date
7/1/2018
Contract Starting Date
7/1/2018
Contract Ending Date
6/30/2019
Contract Document Type
Contract
Amount
$3,400.00
Document Relationships
2019-253-E Health - Triangle Urology vasectomy services amendment
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Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2019
R 2018-494 Health - Triangle Urology vasectomy services
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Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: 5D924F8F- OA84- 4ECE- 95C8- E82E8DA18036 <br />Medical Mutualr. <br />r cc��^^^'.: ��G- y�r.+ c€€ i,; c�E% �: iz2�'.. w���n. �:. F✓ 2�5, ��^ �t:'+ i. 7�, n.# 1stN'. E�' Cea.. cLeFVblsvRJ�." 4q��Y' lte` Pl-.` uF„` �s: v. �a' 7G✓. S.. rY� .l£�%'r'��kbr�.a�'2,°:J:?el�Z�x �:aH,�3!'n�.- X�.,.: .:� <br />PROTECTING OUR PROFESSION <br />CERTIFICATE OF INSURANCE <br />This certificate is issued as a matter of information only and confers no rights upon the certificate holder. <br />This certificate does not amend, extend, or alter the coverage afforded by the policies listed below. <br />INSURED: <br />Samuel Fong -Yin Huang, MD <br />205 Frasier St <br />Durham, NC 27704 <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: Medical Professional Liability - Claims Made <br />POLICY NUMBER: PG113371 RETROACTIVE DATE: September 3, 2002 <br />POLICY PERIOD: <br />FROM: January 1, 2018;12:01 A.M. TO: January 1, 2019;12:01 A.M. <br />LIMITS OF LIABILITY: <br />EACH CLAIM ANNUAL AGGREGATE <br />3,000,000 5,000,000 <br />Date: October 25, 2017 <br />Authorized presentative <br />Certificate Holder. <br />MEDICAL MUTUAL INSURANCE COMPANY <br />PM09 (01 /16) OF NORTH CAROLINA <br />SPRATLT <br />
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