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CERTIFICATE HOLDER <br />©1988-2009 ACORD CORPORA TION.A l l ri ghts r eser v ed . <br />A CORD 25 (2009/09) <br />AUTHORIZED REPRESENTATIVE <br />CANCELL ATION <br />DA TE (MM/DD/YYYY)CERTIFICA TE OF L IA B IL ITY INSURA NCE <br />LOCJECT <br />PRO-POLICY <br />GEN'LAGGREGATELIMIT APPLIESPER: <br />OCCURCLAIMS-MADE <br />COMMERCIALGENERALLIABILITY <br />GENERAL L IA BILITY <br />PREMISES(Ea occurrence)$DAMAGETORENTED <br />EACHOCCURRENCE$ <br />MEDEXP (Any oneperson)$ <br />PERSONAL& ADV INJURY$ <br />GENERALAGGREGATE$ <br />PRODUCTS- COMP/OPAGG$ <br />$RETENTION <br />DEDUCTIBLE <br />CLAIMS-MADE <br />OCCUR <br />$ <br />$ <br />AGGREGATE$ <br />EACHOCCURRENCE$UMBRELLA L IAB <br />EXCESS LIAB <br />DESCRIPTION OF OPERA TIONS / LOCA TIONS / VEHICL ES (A ttach ACORD 101, Addi ti o n al Rem ark s Schedul e, if more space is required) <br />INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS <br />WCSTATU- <br />TORY LIMITS <br />OTH- <br />ER <br />E.L. EACHACCIDENT <br />E.L. DISEASE - EAEMPLOYEE <br />E.L. DISEASE - POLICYLIMIT <br />$ <br />$ <br />$ <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />If yes,describeunder <br />DESCRIPTIONOF OPERATIONS below <br />(Mand ato ry in NH) <br />OFFICER/MEMBER EXCLUDED? <br />WORKERS COMPENSA TION <br />AND EMPL OYERS' L IA BILITY Y /N <br />AUTOMOBIL E L IAB ILITY <br />ANY AUTO <br />ALLOWNEDAUTOS <br />SCHEDULEDAUTOS <br />HIREDAUTOS <br />NON-OWNEDAUTOS <br />$ <br />COMBINEDSINGLELIMIT <br />(Eaaccident) <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />(Per accident)$ <br />$ <br />$ <br />$ <br />THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD <br />INDICATED.NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS <br />CERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITSSHOWNMAYHAVE BEENREDUCEDBYPAID CLAIMS. <br />INSR <br />ADDL <br />WVD <br />SUBR <br />N / A <br />$ <br />$ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA TE HOL DER.THIS <br />CERTIFICA TE DOES NOT A FFIRMATIVEL Y OR NEGA TIVEL Y AMEND,EXTEND OR A L TER THE COVERA GE A FFORDED BY THE POL ICIES <br />B EL OW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRA CT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br />REPRESENTA TIVE OR PRODUCER,A ND THE CERTIFICATE HOLDER. <br />IMPORTA NT:If th e c er t if i c at e h o l d er i s an A DDITIONA L INSURED,the po l i cy (i es )m u s t b e en d o r s ed .If SUBROGA TION IS WAIVED,s ubj ec t to <br />t h e ter m s an d c ond i t i o n s o f the po l i cy ,c er t ai n po l i ci es m ay r equ i r e an en d or s em en t .A st atem en t o n th i s c ert if i c at e d o es n o t c onf er r i g h t s t o t h e <br />c ert i fi c at e ho l d er i n li eu of suc h endo r sem en t (s ). <br />The A CORD n am e an d l o go ar e regi s t ered mar ks o f ACORD <br />COVERA GES CERTIFICATE NUMBER:REVISION NUMB ER: <br />INSURED <br />PHONE(A /C, No ,Ex t ): <br />PRODUCER <br />PRODUCER <br />CUSTOMER ID #: <br />ADDRESS:E-MAIL <br />FAX(A /C, No ): <br />CONTA CTNAME: <br />NAIC # <br />INSURER A : <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />INSURER(S) AFFORDING COVERAGE <br />SHOUL D ANY OF THE A B OVE DESCRIB ED POL ICIES BE CA NCELL ED B EFORE <br />THE EXPIRA TION DA TE THEREOF,NOTICE WILL B E DEL IVERED IN <br />A CCORDA NCE WITH THE POLICY PROVISIONS. <br />795220 <br />09/05/2018 <br />CM&F Group <br />1-800-221-4904212-608-4378 <br />info@cmfgroup.comCM&F Group, Inc <br />99 Hudson St., 12th Floor <br />New York, NY 10013 <br />Neidra L. Clark <br />617 Buttonwood Drive <br />Hillsborough, NC 27278 <br />MEDICAL PROTECTIVE COMPANY <br />AProfessional LiabilityK15982 09/10/201809/10/2019 $1,000,000Per Inc. <br />$6,000,000Aggregate <br />Doula (Death Doula) /Laughter Yoga <br />Occurrence Coverage <br />Neidra L. Clark <br />DocuSign Envelope ID: 2D57AD87-541E-4EE7-914B-0A0E631EE2A7