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Ak··POBox84453Physiciansinsurance""y2^;2;AMUTUALCOMPANY(800)962-1399www.phyins.comCONFIRMATIONOFINSURANCECOVERAGEPROFESSIONALLIABILITYINSURANCEPOLICYCLAIMS-MADENamedInsured:RichardDVaughan,MDPolicyNumber:300002600MailingAddress:107EMountainVwAveSte1Ellensburg,WA98926POLICYPERIOD:January1,2020toJanuary1,2021at12:01a.m.localtimeattheaddressshownaboveRETROACTIVEDATE:May1,2014ThisdocumentwillconfirmthatPhysiciansInsuranceAMutualCompany(theCompany)providesprofessionalliabilityinsurancetoRichardDVaughan,MD,subjecttotheCompany'sminimumliabilitylimitsof$1,000,000eachmedicalincidentand$5,000,000aggregate.Thecertificateofinsuranceisissuedasamatterofinformationonlyandconfersnorightsuponthecertificateholder.Thisconfirmationdoesnotamend,extendorothenNisealtertheterms,conditionsorlimitsoftheinsuranceaffordedbythepolicy.IfthePolicy,orcoverageforanyperson,iscanceledforanyreasonorifthetermsofthepolicyarechanged,wewillnotifytheNamedInsuredonly.ThisconfirmationwasissuedonApril13,2020.ToourInsureds:Thisconfirmationofcoverageisprovidedforyouruseforhospitalprivilegerequirements,HMOs,PPOs,etc.YouareauthorizedtophotocopyanddistributeasneededwithoutfurtherpermissionfromornotificationtotheCompany.12119487COI-PI.080712