Orange County NC Website
Browse       Search
DocuSign Envelope ID:73A1D68B-6490-4299-A2E7-F696C988DD75 <br /> CERTIFICATE OF INSURANCE MAG Mutual Insurance Company <br /> Certificate issued to: <br /> Name and mailing address of insured: <br /> Gain E. Vines, M.D. <br /> 400 Millstone Dr. <br /> Ste. 100 <br /> Hillsborough, NC 27278 <br /> This is to certify that MAG Mutual Insurance Company has issued a Physicians and Surgeons Professional <br /> Liability Insurance Policy to the insured listed above,subject to the provisions of the current policy contract and <br /> any endorsements. <br /> Policy Number: Effective Date: Expiration Date: <br /> PSL 1701979 11 2/01/2019 2/01/2020 <br /> Limits Retroactive Date: <br /> Each loss Aggregate limit <br /> 1,000,0001 3,000,000 4/09/2002 <br /> TOTAL LIMITS 1,000,0001 3.000,000 <br /> This document is issued as a matter of information only and confers no rights upon the document holder. This <br /> document does not amend,extend,or alter the coverage,terms,exclusions,conditions,or other provisions afforded <br /> by the policies referenced herein. <br /> Please inquire directly with the insured for individual restrictive endorsements that may apply. In the event of <br /> cancellation of the described policy,MAG Mutual will make reasonable effort to notify the party at whose request <br /> this certificate was issued,but MAG Mutual shall not be liable in any way for failure to give such notice. <br /> Authorized Representative <br /> December 12, 2018 <br /> MAG Mutual Insurance Company <br /> PO Box 52979 <br /> Atlanta,GA 30355-4979 <br /> GINS Ed.6194 Page I of I <br />