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..POBox84453PhysiciansInsurance-2;AMUTUALCOMPANY(800)962-1399www.phyins.comCONFIRMATIONOFINSURANCECOVERAGEPROFESSIONALLIABILITYINSURANCEPOLICYCLAIMS-MADENamedInsured:ByronLHaney,MDPolicyNumber:178152000MailingAddress:107EMountainViewAveSte1EIIensburg,WA98926POLICYPERIOD:January1,2020toJanuary1,2021at12:01a.m.localtimeattheaddressshownaboveRETROACTIVEDATE:September3,1990ThisdocumentwillconfirmthatPhysiciansInsuranceAMutualCompany(theCompany)providesprofessionalliabilityinsurancetoByronLHaney,MD,subjecttotheCompany'sminimumliabilitylimitsof$1,000,000eachmedicalincidentand$5,000,000aggregate.Thecertificateofinsuranceisissuedasamatterofinformationonlyandconfersnorightsuponthecertificateholder.Thisconfirmationdoesnotamend,extendorotherwisealtertheterms,conditionsorlimitsoftheinsuranceaffordedbythepolicy.IfthePolicy,orcoverageforanyperson,iscanceledforanyreasonorifthetermsofthepolicyarechanged,wewillnotifytheNamedInsuredonly.ThisconfirmationwasissuedonApril13,2020.ToourInsureds:Thisconfirmationofcoverageisprovidedforyouruseforhospitalprivilegerequirements,HMOs,PPOs,etc.YouareauthorizedtophotocopyanddistributeasneededwithoutfurtherpermissionfromornotificationtotheCompany.21178152COl-PI.080712