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2024-182-E-KKJ Forensic and Psychological Services-psychological services
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2024-182-E-KKJ Forensic and Psychological Services-psychological services
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Last modified
5/28/2024 8:28:39 AM
Creation date
5/28/2024 8:28:34 AM
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Contract
Date
3/18/2024
Contract Starting Date
3/18/2024
Contract Ending Date
3/26/2024
Contract Document Type
Contract
Amount
$18,000.00
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815Ren (2011) <br />June 12, 2023 <br />Katrina Kuzyszyn-Jones <br />5317 Highgate Dr Ste 213 <br />Durham, NC 27713 6622 <br />RE: Your Trust Sponsored Professional Liability Insurance Policy # 78G27815467 <br />Dear Katrina Kuzyszyn-Jones <br />Thank you for your continued participation in the Trust Sponsored Professional Liability Program. <br />Enclosed is your Trust Sponsored Professional Liability Insurance Renewal. In an effort to conserve resources <br />and "go green"with your renewal,we have not included a copy of your insurance policy form as part of this renewal <br />packet. The insurance policy form was provided to you previously,and the enclosed endorsements included in this <br />renewal packet will reflect changes to your coverage, if any. If you would like a copy of the policy form, you are able <br />to request it by accessing your account at the Online Service Center at www.trustinsurance.com or by contacting our <br />Customer Service Center. We urge you to read this renewal packet and notify us if you believe any changes are <br />necessary. <br />At the first notice of claim, lawsuit or incident, please contact our Customer Service Center immediately at <br />1.877.637.9700. We will assist you in providing the necessary information to get your claims process started. Our <br />claims staff is dedicated to listening, understanding,and taking action to route your claim to the appropriate experts <br />working on your behalf. <br />If you have not already done so, be sure to access your Online Service Center account at <br />www.trustinsurance.com. Your account is available 24 hours a day, 7 days a week, with anytime access to your <br />professional liability insurance form. You can request additional Memorandums of Insurance, view all of your account <br />transactions, submit requests for changes, update your personal information and (if eligible) renew your policy. For <br />your convenience we have provided your user name at the bottom of this letter. If you wish to change your customer <br />information, simply log into the Online Service Center and click on Customer Service. <br />Should you have any questions regarding this correspondence, or for additional information regarding further <br />membership benefits and other membership insurance options, please be sure to contact us at 1.877.637.9700. Our <br />professional staff is available to assist you Monday-Friday 8:30am-6:00pm (est)or visit our website at <br />www.trustinsurance.com. You may also email us your questions at info@trustrms.com. <br />Sincerely, <br />Jana N. Martin, Ph.D., President <br />Trust Risk Management Services, Inc. doing business in NC as Potomac Risk Management Services, Inc. <br />Licensed Producer - Sheila LeBeau, CA #OF77147, FL #PO99941. Principal Place of Business - Maryland. Insurance provided by ACE American Insurance Company, <br />Philadelphia, PA and its U.S.-based Chubb underwriting company affiliates. Program Administered by Trust Risk Management Services, Inc. <br />OSC User Name: drkatrina@kkjpsych.com <br />DocuSign Envelope ID: ACEF8EF9-2EFA-4F7D-B215-CAC4F234E1F6
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