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Docusign Envelope ID : 8C7DOF83-A844-470B -BD7E-4C89FBF3FD2B
<br /> ® DATE (MM/DD/YYYY)
<br /> ,4► 121�► CERTIFICATE OF LIABILITY INSURANCE
<br /> 7/11 /2024
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND , EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S) , AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER .
<br /> IMPORTANT : If the certificate holder is an ADDITIONAL INSURED , the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed .
<br /> If SUBROGATION IS WAIVED , subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s ) .
<br /> CONTAPRODUCER NAME: IMA Wichita Team
<br /> IMA, Inc. - Salt Lake City PHONE FAX
<br /> 95 S State Street, Suite 1300 A/C No Ext • 31 &267-9221 A/c No
<br /> Salt Lake City UT 84111 ADDRESS: certs imaco .com
<br /> INSURERS AFFORDING COVERAGE NAIC #
<br /> INSURER A : Federal Insurance Company 20281
<br /> INSURED MEDIPRk01 INSURER B : Great Northern Insurance Company 20303
<br /> Medical Priority Consultants , Inc .
<br /> 110 S . Regent ST, Ste . 500 INSURER c : Chubb Indemnity Insurance Company 12777
<br /> Salt Lake City UT 84111 INSURER D :
<br /> INSURER E :
<br /> INSURER F :
<br /> COVERAGES CERTIFICATE NUMBER : 1513371828 REVISION NUMBER.
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED , NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS ,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS .
<br /> INS LTR TYPE OF INSURANCE INSD SWVD UER POLICY NUMBER MMIDD/YY OLICY F MM DD CY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 36027183 2/1 /2024 2/1 /2025 EACH OCCURRENCE $ 110009000
<br /> DAMAGE TO CLAIMS-MADE a OCCUR PREMISES Ea occu RENTED nce $ 1 ,000 , 000
<br /> MED EXP (Any one person) $ 10,000
<br /> PERSONAL & ADV INJURY $ 1 ,000 , 000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 ,000 , 000
<br /> PRO-
<br /> POLICY JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2 ,0007000
<br /> X
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY Y Y 73587016 2/1 /2024 2/1 /2025 COMBINED SINGLE LIMIT $ 1 , 000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY (Per person) $
<br /> OWNED SCHEDULED BODILY INJURY (Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> A X UMBRELLA LIAB X OCCUR Y Y 79887942 2/1 /2024 2/1 /2025 EACH OCCURRENCE $ 5 , 000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 51000 ,000
<br /> DED X RETENTION $ n $
<br /> C WORKERS COMPENSATION Y 71753870 2/1 /2024 2/1 /2025 X STA UTE ER
<br /> H
<br /> AND EMPLOYERS' LIABILITY
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE YM E. L. EACH ACCIDENT $ 11000 , 000
<br /> OFFICER/MEMBEREXCLUDED? N I A
<br /> (Mandatory in NH) E. L. DISEASE - EA EMPLOYEE $ 1 , 000, 000
<br /> If yes, describe under
<br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 ,000 , 000
<br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required)
<br /> Named Insured Includes : Medical Priority Consultants , Inc. , Priority Dispatch Corp . , Regent Holdings , LLC , Priority Solutions , Inc. , National Academies of
<br /> Emergency Dispatch , International Academies of Emergency Dispatch , and Priority Dispatch Corp . UK, LTD .
<br /> Certificate Holder and all other parties required by the contract are included as Additional Insured on the General Liability, Automobile Liability, and Umbrella
<br /> Liability Policies , if required by written contract or agreement, subject to the policy terms and conditions . This Insurance is Primary & Non -Contributory on the
<br /> General Liability, Automobile Liability, and Umbrella Liability Policies , if required by written contract or agreement, subject to the policy terms and conditions . A
<br /> Waiver of Subrogation is provided in favor of the Certificate Holder and all other parties required by the contract on the General Liability, Automobile Liability,
<br /> Umbrella Liability, and Workers Compensation Policies , if required by written contract or agreement, subject to the policy terms and conditions .
<br /> Umbrella Liability policy is in excess of the General Liability, Automobile Liability and Employers Liability Policies , subject to the policy terms and conditions .
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Orange County
<br /> P . O . BOX 8181 AUTHORIZED REPRESENTATIVE
<br /> Hillsborough NC 27278
<br /> V �
<br /> © 1988 =2015 ACORD CORPORATION . All rights reserved .
<br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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