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From: Fax Server Page: 314 Date: 11/23/2009 11:50:58 AM <br />ENTITY CERTIFICATE OF PROFESSIONAL LIABILITY COVERAGE <br />THROUGH MUTUAL PROTECTION TRUST (MPT) <br />Name of Entity: Pulmonary Consultants and Primary Care Physicians Medical Group <br />Inc <br />NTT Entity: 4516 <br />Effective Period: January 1, 2008 through December 31, 2010 <br />Retroactive Date: January 1, 1978 <br />The limit of liability of $1 million per Occurrence and $3 million aggregate will be "separate from <br />the limits of MPT Members of the above named Entity. <br />* A shared limit of liability for the Entity means that the Entity wit] 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-MPT Healthcare 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 limits 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 it non-NTT 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 MPT Agreement. <br />The Mutual Protection Trust will provide the Claims defense and Claims payment services described in <br />the MPT Agreement to the Entitynamed above, subject to all terms, conditions, and exclusions contained <br />in the NTT 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 NOT 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: November 23, 2009 <br />APPRO"i,'ED AS O FORM <br />l <br />Jt)svStraka <br />Assistaot City Attorney <br />MUTUAL PROTECTION TRUST <br />By <br />Hammon P. Acuna <br />Vice President, Membership Services <br />This fax was received by GFI FAXmaker fax server. For more information, visit: http:itwww.gfi.com