Laserfiche WebLink
LEXING70N INSURANCE COMPANY <br /> ADMINISTRATIVE OFFICES: 99 High Street, Boston, Massachusetts 02110-2378 <br /> ® HEALTHCARE PROFESSIONAL LIABILITY- CLAIMS MADE <br /> ❑ HEALTHCARE PROFESSIONAL LIABILITY- OCCURRENCE <br /> ® HEALTHCARE GENERAL LIABILITY- CLAIMS MADE <br /> ❑ HEALTHCARE GENERAL LIABILITY- OCCURRENCE <br /> DECLARATIONS <br /> POLICY NUMBER: 1070632 RENEWAL OF POLICY NUMBER: 1070632 <br /> Item 1. FIRST NAMED INSURED: FGP-02X HOLDING LLC <br /> Item 2. ADDRESS: 1 MILL WHARF PLAZA- S12 <br /> SCITUATE, MA 02066-4532 <br /> Item 3. POLICY PERIOD: From:September 19, 2024 To:September 19, 2025 <br /> (12:01 a.m. Standard Time at the mailing address of the First Named Insured <br /> shown in Item 1. above,) <br /> Item 4. RETROACTIVE DATE(S), if applicable: <br /> (a) HEALTHCARE PROFESSIONAL LIABILITY: 09/19/2021 <br /> (b) HEALTHCARE GENERAL LIABILITY: 09/19/2018 <br /> Item 5. DESCRIPTION OF OPERATIONS: Human performance training and education <br /> Item 6. LIMITS OF INSURANCE: <br /> {a) HEALTHCARE PROFESSIONAL LIABILITY <br /> Aggregate Limit $3,000,000 <br /> Each Medical Incident $1,000,000 <br /> Deductible $10,000 Each medical incident <br /> Aggregate Deductible None <br /> (b) HEALTHCARE GENERAL LIABILITY <br /> Aggregate Limit $3,000,000 <br /> Each Occurrence Limit $110001000 <br /> Products/Completed Operations Limit $1,000,000 <br /> Personal and Advertising Injury Limit $1,000,000 Any one person or organization <br /> Fire Damage Limit $300,000 Each fire <br /> Deductible $10,000 Each occurrence <br /> Aggregate Deductible None <br /> Item 7. PREMIUM: This policy is insured by a company <br /> (a) Total Premium: $77 000 which is not admitted to transact <br /> (b) Minimum Earned Premium At Inception: $ 19,250 insurance in the commonwealth, is not <br /> Item B. FORMS AND ENDORSEMENTS: See attached Forms Schad u supervised by the commissioner of <br /> ��surance and, in the event of an <br /> Item 9. PRODUCER NAME AND ADDRESS: RSG SPECIALTY, LLC insolvency of such company, a loss shall <br /> 176 FEDERAL STREET not be paid by the Massachusetts .Insurers <br /> STET 800 Insolvency Fund under 175D. <br /> BOSTON, MA 02110 �` un uner chapter <br /> i <br /> B y: <br /> Authorized Representative <br /> 113391 (01/13) Page 1 of 1 <br /> HC0752 0 All rights reserved. <br />