PULMONARY CONSULTANTS & PRIMARY CARE PHYSICIANS MEDICAL GROUP, INC. 4B - 2009

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ENTITY CERTIFICATE OF PROFESSIONAL LIABILITY COVERAGE THROUGH MUTUAL PROTECTION TRUST (MPT) Name of Entity: Pulmonary Consultants and Primary Care Physicians Medical Group Inc MPT Entity: 4516 Effective Period: June 1, 2007 through December 31, 2009 Retroactive Date: January 1, 1978 The limit of liability of S1 Million per Occurrence and $3 Million aggregate will be * *separate from the limits of MPT Members of the above named Entity. A shared limit of liability for the Entity means that the Entity will share the limit of the MPT Members(s) whose acts, errors or omissions gave rise to the Occurrence. In the event that an Occurrence arises solely out of the acts, errors and omissions of a non -MPT Healthcare Practitioner who provides Professional Services for the Entity, the MPT Members of covered Entity shall share their limits of liability with the Entity. "`• A separate limit of liability for the Entity means that the limits of the liability shall be in addition to and separate from (not shared with) the limits of liability of the MPT Member(s) whose acts, errors or omissions gave rise to the Claim. In the event that an Occurrence arises solely out of the acts, errors and omissions of a non -MPT Healthcare Practitioner who provides Professional Services for the Entity, the MPT Members of covered Entity shall share their limits of liability with the Entity Nothing in this Certificate of Coverage shall be construed to increase the limits of liability set forth in Article VIII, Section 7 of the MPT Agreement. The Mutual Protection Trust will provide the Claims defense and Claims payment services described in the MPT Agreement to the Entity named above, subject to all terns, conditions, and exclusions contained in the MPT Agreement, and subject to payment of any annual fees for Claims arising out of an Occurrence during the effective period set forth above. The coverage is continuous and uninterrupted unless cancelled or amended by MPT or the MPT Entity above. This certificate is incorporated by this reference and is a part of the MPT Agreement, This Entity's principals are responsible for notifying all recipients of this certificate should the Entity discontinue operation or dissolve before the end date shown above. Date: December 5, 2008 MUTUAL PROTECTION TRUST By Hammon P. Acuna Vice President, Membership Services APPROVED AS I'o FORM i. Laura Stitt Shcedy ASSiSta c ty