2024-256-E-Emergency Svc-Wake Med-EMS Education

Browse Search

CERTIFICATE OF INSURANCE DATE (MM/DD/YYYY) 4/11/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER COVERAGE IS INDEPENDENTLY PROCURED BY THE INSURED CONTACT Stephen Gray NAME: PHONE (345) 623-6611 (A/C, No, Ext): FAX (A/C, No): E-MAIL SRSCayman.Certs@strategicrisks.com ADDRESS: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED WAKEMED HEALTH & HOSPITALS 3000 NEW BERN AVE. RALEIGH, NC 27610, USA Rockroom Insurance Group SPC INSURER A: On Behalf of Andrews Segregated Portfolio INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2023–PLGL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A WSPHPL 2023 10/01/2023 10/01/2024 EACH CLAIM $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS-MADE X OCCUR MED EXP (Any one person) $ EACH FACILITY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMP/OP AGG $ X POLICY $ A X UMBRELLA LIAB X OCCUR WSPHPL UMB 2023 10/01/2023 10/01/2024 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DEDUCTIBLE $ $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N N/A WC STATU- TORY LIMITS OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N COMBINED SINGLE LIMIT INDEMNITY (Per Occurrence) $ (Mandatory in NH) POLICY AGGREGATE $ If yes, describe under DESCRIPTION OF OPERATIONS below A HEALTHCARE PROFESSIONALLIABILITY (CLAIMS-MADE) WSPHPL 2023 10/01/2023 10/1/2024 EACH CLAIM $ 1,000,000 AGGREGATE $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES Evidence of coverage. Coverage for Sexual Misconduct is included within Professional Liability coverage per the terms of the policy. CERTIFICATE HOLDER CANCELLATION Orange County 300 West Tryon Street P.O. Box 8181 Hillsborough, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. On behalf of Strategic Risk Solutions (Cayman) Limited As Secretary to Rockroom Insurance Group SPC DocuSign Envelope ID: 9429D437-A873-4762-A3F0-983DC515AA25