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The Medical Protective Company00 <br /> A STOCK INSURANCE COMPANY <br /> 5814 R•eil Read,Farr Wayne,Indiana 46835 <br /> Strength.Defense.Solutions.Since 1899. <br /> MULTI-SPECIALTY HEALTHCARE PROFESSIONAL-CERTIFICATE <br /> 10/01/2017 To: 10/01/2018 <br /> Cerh fieate)Nudifitr:P774,d F87400 <br /> tat 1201 a.m.Standard Time at the address of the Mist Named Insured <br /> fteitil a) nmed nsured:—'72—• -M Ietusi.0 imaarsialawitramikm traimulkomminigvartrizana <br /> IN08-Instired actinwin the capncitv'of utt7Administrative'First=Nanied,Insured <br /> - 111441q111AIVISOR!rarEtWTMISEIRE17-fiGITM aratrteret2tatermatt armteravea <br /> Sunshine Rehab Ctr of IndianRiver County Inc dba Sunshine Physical Tlerapy Clinic <br /> Professional Services Specialty Physical Therapy Group <br /> Classification: N/A edr*MaereamtLAttaiwkataptatmeatiltaatamitteutratt-A4tattattEtttataamatttat,sit 1705 17th Avenue, <br /> Vero Beach,FL 32960 '-)7 4e u s1 x I, <br /> P6111183,1661Tli <br /> CHire ▪ ".7" 7;•: - — 7-Aggregate- <br /> PROFESSIONAL LIABILITY <br /> A. Professional Liability(PL)& X $1,000,000 $3,000,000 <br /> B. Good Samaritan Acts Included Included <br /> C. Assault Upon You $25,000 $25,000 <br /> D. First Aid $15,000 $15,000 <br /> E. Medical Payments $25,000 $100,000 <br /> F. Deposition Fees $10,000 $10,000 <br /> - Administrative Hearing Expense $25,000 $100,000 <br /> - Sexual Misconduct Expense $1,000,000 $1,000,000 <br /> - Loss of Earnings $2,500 $35,000 <br /> - HIPAA Proceeding Expense $25,000 $25,000 <br /> - Biomedical Waste Hearing Expense $10,000 $10,000 <br /> WORKPLACE LIABILITY <br /> A. Healthcare Professional Premises X <br /> Liability& Included in Professional Liability Limit <br /> B. Personal Injury Liability <br /> Ligaty sat'pp&if the Oa mat Lidep haulm Aprozhat "soda part*fp.,cowman <br /> EMPLOYMENT PRACTICES LIABILITY,', <br /> CYBER LIABILITY <br /> - Network Security&Privacy <br /> - Regulatory Fines&Penalties <br /> - Patient Notification&Credit <br /> Monitoring Costs <br /> - Data Recovery Costs <br /> - General Cyber Annual Aggregate <br /> BILLING ERRORS&OMMISSIONS <br /> COMMERCIAL GENERAL LIABILITY <br /> - Each Occurrence Limit • <br /> - Damages to Premises Rented <br /> to an Insured Business <br /> - Personal&Advertising Injury <br /> - General Aggregate Limit <br /> - Product Completed Operations Aggregate <br /> - Hired and Non-Owned Auto <br /> Omerd ltaittrdoes act 4ppfr if thy WarlpiamLiabfiqpimariag Agnrcorath made rpart allow cannon <br /> FORMSWENDQRSEXIENTS7:-.. I SEE POLICYFORMS&ENDORSEMENTS SCHEDULE ;iiitstrirTolierNiimber; MMPO C19190 <br /> IN WITNESS WHEREOF,The Medical Protective Company has mused Oils policy to be signed by its <br /> President and Corporate Secretary(and countenigned by its duly Marched Representative,where <br /> necessarvi. <br /> • <br /> Premium:$2,401.00 For Service or questions,please call: President <br /> Surcharges: CM&F Group,Inc. <br /> Taxes: 1-800-221-4904 <br /> TOTAL $2,401.00 Sweaty <br /> 11111S POLICY CONTAINS CLAIMS-MADE COVERAGE. Couniersignature/Andwined Representative <br /> CLAIM EXPENSE IS PAID WITHIN THE LIMEIS OF LIABILITY. <br /> Nanel LIMITS MAY CHANGE BY COVERAGE PROVISION OR ENDORSEMENT. <br /> PLEASE READ YOUR POLICY AND ENDORSEMENTS CAREFULLY. <br /> DISCUSS WITH YOUR INSURANCE AGENT IF NEEDED. <br /> 18011 01/14 <br />