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..POBox84453Physiciansinsurance-7;2;AMUTUALCOMPANY(800)962-1399www.phyins.comCONFlRMATIONOFINSURANCECOVERAGEPROFESSIONALLIABILITYINSURANCEPOLICYCLAIMS-MADENamedInsured:ElkhornValleyCorpdbaFamilyHealthCareofPolicyNumber:002258000EllensburgParamedicalEmployee:AaronDavidLong,ARNPReferenceNumber:376778MailingAddress:107EMountainVwAveSte1EIIensburg,WA98926POLICYPERIOD:January1,2020toJanuary1,2021at12:01a.m.localtimeattheaddressshownaboveRETROACTIVEDATE:September1,2012ThisdocumentwillconfirmthatPhysicianslnsuranceAMutualCompany(theCompany)providesprofessionalliabilityinsurancetoAaronDavidLong,ARNP,subjecttotheCompany'sminimumliabilitylimitsof$1,000,000eachmedicalincidentand$5,000,000aggregate.Thecertificateofinsuranceisissuedasamatterofinformationonlyandconfersnorightsuponthecertificateholder.Thisconfirmationdoesnotamend,extendorotherwisealtertheterms,conditionsorlimitsoftheinsuranceaffordedbythepolicy.IfthePolicy,orcoverageforanyperson,iscanceledforanyreasonorifthetermsofthepolicyarechanged,wewillnotifytheNamedInsuredonly.ThisconfirmationwasissuedonApril13,2020.ToourInsureds:Thisconfirmationofcoverageisprovidedforyouruseforhospitalprivilegerequirements,HMOs,PPOs,etc.YouareauthorizedtophotocopyanddistributeasneededwithoutfurtherpermissionfromornotificationtotheCompany.72376778COl-Pl.080712