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SUNRISE MULTISPECIALIST MEDICAL CENTER
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Last modified
8/20/2024 1:22:49 PM
Creation date
4/16/2020 3:04:57 PM
Metadata
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Template:
Contracts
Company Name
SUNRISE MULTISPECIALIST MEDICAL CENTER
Contract #
N-2020-084
Agency
HUMAN RESOURCES
Expiration Date
6/30/2021
Insurance Exp Date
12/31/2023
Destruction Year
2026
Notes
For Insurance Exp. Date see Notice of Compliance
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ENTITY CERTIFICATE OF PROFESSIONAL LIABILITY COVERAGE <br />THROUGH MUTUAL PROTECTION TRUST (MPT) <br />Name of Entity: <br />William H Nuesse MD And Mary Ann Nuesse DO A Medical <br />Corporation <br />Name ofDBAs: <br />Sunrise Multispecialist Medical Center Inc <br />MPT Entity: <br />1906 <br />Effective Period: <br />January 1, 2008 through December 31, 2020 <br />Retroactive Date: <br />February 1, 2000 <br />The limit of liability of $1 million per Occurrence and $3 million aggregate will be *shared with the ✓ <br />limits of MPT Members of the above named Entity. <br />" A shared limit of liability for the Entity means that the Entity will share the limit of the MPT <br />Members(s) whose acts, errors or omissions gave rise to the Occurrence. In the event that an Occurrence <br />arises solely out of the acts, errors and omissions of a non-MPTHealthcare Practitioner who provides <br />Professional Services for the Entity, the MPT Members of covered Entity shall share their limits of liability <br />with the Entity. <br />*' A separate limit of liability for the Entity means that the limits of the liability shall be in addition to <br />and separate from (not shared with) the Ihnits of liability of the MPT Member(s) whose acts, errors or <br />omissions gave rise to the Claim. In the event that an Occurrence arises solely out of the acts, errors and <br />omissions of a non-MPT Healthcare Practitioner who provides Professional Services for the Entity, the <br />MPT Members of covered Entity shall share their limits of liability with the Entity. <br />Nothing in this Certificate of Coverage shall be construed to increase the limits of liability set forth in <br />Part 1, Section 6.A of the MPTAgreement. <br />The Mutual Protection Trust will provide the Claims defense and Claims payment services described in <br />the MPT Agreement to the Entity named above, subject to all terms, conditions, and exclusions contained <br />in the MPT Agreement, and subject to payment of any annual fees for Claims arising out of an <br />Occurrence during the effective period set forth above. <br />The coverage is continuous and uninterrupted unless cancelled or amended by MPT or the MPT Entity <br />above. This certificate is incorporated by this reference and is a part of the MPT Agreement. <br />This Entity's principals are responsible for notifying all recipients of this certificate should the <br />Entity discontinue operation or dissolve before the end date shown above. <br />Date: January 7, 2020 MUTUAL PROTECTION TRUST <br />By <br />Alfred De Leon <br />Vice President, Membership Services <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />AP 0 g 1 y <br />ANGiE ACEVEdo <br />
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