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DocuSign Envelope ID:92EFA578-CE94-4EDA-BAE5-D7664F2BE88A <br /> w ISSUE DATE <br /> November 28,2017 <br /> c <br /> PRODUCP-R �ON <br /> Is cElrflrWATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND coNlrERs NO RIGHTS <br /> "THEIR CERT]FICATT�:HOLDER. 'TEAS CERTIFICATE.DOES NOT AMEND,EXTEND OR ALTER <br /> E COVBRAGL AFFORDED BY THE POLICIES BELOW. <br /> The Snowden Company <br /> PO Box 5319 COMPANIES AFFORDING COVERAGE <br /> Florence, South Carolina 29502-5319 <br /> t7C)MPANY A Markel Insurance Company <br /> I ETTER <br /> I <br /> INSURED OMPANY R <br /> >ETTI R <br /> HEALTH ASCENTS ASSOCIATES, LLC gOMPANY C <br /> 238 TROUT LILY LAME FETTER <br /> PITTSBORO NC 27312 QCLVIPANY D <br /> iETTER <br /> OMPANY E <br /> I.,ETTER <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE(IISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR. <br /> THE POLICY PERIOD INDICATED, NOTWITHSTAND G ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br /> OTHER DOCUMENT WITH RESPECT TO WHICH'THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE <br /> AFFORDED BY THE POLICIES DESCRIBED I-II'REIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH <br /> POLICIES. <br /> CO TYPE OF TNSTIRANCE POLICYNUMBER POLICYSFI'ECTTVE PbLIC1 EXPIRATION ALL LIMITS 1N THOUSANDSLIRA ! A"47 <br /> '8 IN' "J"YY) DATE"(Mill <br /> GENERAL LIABILITY OEiNERAf.ACOREGA'Il <br /> CO[vfA'f1:RCl lL GENERAL LIAR lL1TY PRODUCTS-COMPIOPS AGGREGATE <br /> £LA€III NIADE F—] OCCURRENCE O PERSONAL m ADVE'KI'ISiNG INJURY <br /> I <br /> OWNER'S&CONTRACTORS FROTECTi VE i EACH OCCURSNCE <br /> ��. FIRE DAMAGE(ANY ONE FIRE) <br /> Il nIMICAL ESPYNSC(-ANY ONC PCR&]N7 <br /> AUTOMOBILE LIAIIILrry CSL <br /> ANY AUTO <br /> ALL OWNED AUTOS j BODILY <br /> INJURY <br /> SaFEDUI.ED AUTOS (P PERSON) $ <br /> HIRED AUTOS BODILY <br /> [Ni <br /> NON-OWNED AUTOS (PLR $ <br /> I Al <br /> GARAGE LIABILITY rRowrRTY <br /> DAMAGE <br /> $ <br /> EXCESS LIABILITY EACH AGCRE <br /> OCCURRENCE LATE <br /> $ $ <br /> OTHER THAN UMBRELLA FORM <br /> STATUTORY <br /> WORKERS'COMPENSATION � $ (VACHACI <br /> AND $ (DISEASE-POI ICY LIi <br /> EMPLOYERS' LIABILITY � $ (DISEASE-EACH E-NmI.oYERI <br /> A OTHER M680616 11/28/2017 11/28/2018 LIMITS, $1,000,000 Each Claim <br /> Professional liability $3,000,000 Aggregate <br /> DESCRIPTION OF OPERATION S/LOCATION S/VEII CLES/RESTRICTIONS/SPECIAL ITEMS; Dorothy Cilenti and Health <br /> Ascent Associates, LLC is provided professional liabilityi coverage within the scope of contract services provided to the Orange County <br /> Health Department, Retro Date: 11/28/2017 <br /> SHOULD ANY OF TIiH ABOVF. DESCRIBED POLICES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 1.0 MAIL <br /> 10 DAYS WR1lTEh NOTICE TO THF. CERTIFICATE HOLDER NAMED TO THr Lrrr, BUT <br /> FAILURE'TO MAIL SUM NOTICE Si IMPOSE NO OBLIGATION OR LIABILTTY 01, NY <br /> ORANGE COUNTY HEALTH DEPARTMENT KIND CohtP.AN)',ITS Al OR REPRE,>ENTA'lvas <br /> 300 W. TRYON STREET AUTHORIZED REPRESENTATIVE � <br /> HILLSBOROUGH,NC 27278 TERREE 1, SNOWDEN, CPC�t7 r <br /> i <br />