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    Malpractice Insurance

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    Brobins84
    This certificate of insurance provides coverage details for Jacqueline Robinson from April 12, 2009 to April 12, 2010. It lists the policy number, limits of liability for each coverage part including professional liability with limits of $1,000,000 per occurrence and $5,000,000 aggregate, and supplemental liability with unlimited defense expense coverage. The certificate is issued as a matter of information only and does not amend, extend, or alter the coverage afforded by the listed policies.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Malpractice Insurance

    Uploaded by

    Brobins84
    144 views1 page
    This certificate of insurance provides coverage details for Jacqueline Robinson from April 12, 2009 to April 12, 2010. It lists the policy number, limits of liability for each coverage part including professional liability with limits of $1,000,000 per occurrence and $5,000,000 aggregate, and supplemental liability with unlimited defense expense coverage. The certificate is issued as a matter of information only and does not amend, extend, or alter the coverage afforded by the listed policies.

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    This certificate of insurance provides coverage details for Jacqueline Robinson from April 12, 2009 to April 12, 2010. It lists the policy number, limits of liability for each coverage part including professional liability with limits of $1,000,000 per occurrence and $5,000,000 aggregate, and supplemental liability with unlimited defense expense coverage. The certificate is issued as a matter of information only and does not amend, extend, or alter the coverage afforded by the listed policies.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    144 views1 page

    Malpractice Insurance

    Uploaded by

    Brobins84
    This certificate of insurance provides coverage details for Jacqueline Robinson from April 12, 2009 to April 12, 2010. It lists the policy number, limits of liability for each coverage part including professional liability with limits of $1,000,000 per occurrence and $5,000,000 aggregate, and supplemental liability with unlimited defense expense coverage. The certificate is issued as a matter of information only and does not amend, extend, or alter the coverage afforded by the listed policies.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Certificate of Insurance (Proof of Coverage) Date Issued: (4/12/2009)

    THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
    THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
    Insured Name and Mailing Address* Program Administrator
    Name Jacqueline Robinson Administered By: CPH and Associates
    Street 510 MIca Trace 711 S. Dearborn, Suite 205
    Chicago, IL 60605

    City College Park Underwritten By:


    State Georgia Philadelphia Indemnity Insurance Company
    Zip 30349
    *Additional insured locations are often requested by individual business owners who have more than one office.
    Your coverage is portable, meaning that you are covered at any location for practice under the occupation(s) listed on your policy.
    Coverage
    Policy #: PHCPE45049 Effective Date: (4/12/2009) Expiration Date: (4/12/2010)
    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. AGGREGATE LIMITS
    SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
    Limits of Liability
    Each Occurrence Aggregate
    (Per individual claim) (Total amount per policy year) Coverage Part
    $1,000,000.00 $5,000,000.00 Professional Liability
    N/A N/A Commercial General Liability
    Includes: General Liability, Fire & Water Legal Liability and Personal
    Liability
    N/A N/A Property Coverage
    $1,000,000.00 $5,000,000.00 Supplemental Liability
    Unlimited Unlimited Defense Expense Coverage
    $25,000 $25,000 State Licensing Board Investigation Expense Coverage
    $5,000 $5,000 Assault Coverage
    $5,000 $15,000 Deposition Expense Benefit
    $2,500/person $25,000 Medical Expense Coverage
    $2,500 $2,500 First Aid Coverage

    Description/Special Provisions:

    Certificate Holder Cancellation


    Proof of Coverage Should any of the above described policy be cancelled before the
    expiration date thereof, the issuing insurer will endeavor to mail 30
    days written notice to the certificate holder named to the left, but
    failure to do so shall impose no obligation or liability of any kind
    upon the insurer, its agents or representatives.

    Holder has also been added to the policy as anadditional insured:** Authorized Representative
    _Yes / XN0
    **If the certificate holder is an ADDITIONAL INSURED, the policy(ies) C. Philip Hodson
    must be endorsed. A statement on this certificate does not confer rights to
    the certificate holder in lieu of such endorsement(s).

    DISCLAIMER:The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer,
    and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter
    the coverage afforded by the policies listed thereon.

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