2025-12-12 COI PL.pdf
PDF 33 KB Posted
- Attached to
- Master Agreement AZ|CTR074772
- Contract number
- CTR074772
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by CM&F Group for Renee Palting, with Medical Protective Company (MPC) as the primary insurer. The certificate covers a professional liability insurance policy for a Lactation Consultant/IBCLC, with Mindful Lactation, LLC listed as an additional insured entity. The insurance is specifically for a professional located in Tucson, Arizona.
The professional liability policy provides coverage from 12/12/2024 to 12/12/2025, with policy number VC6948. The insurance limits are $1,000,000 per incident and $6,000,000 aggregate, offering occurrence-based coverage for Lactation Consultant services. The policy is issued through CM&F Group, located in New York City, and provides protection for professional services rendered by the insured individual and her associated business, Mindful Lactation, LLC.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR074772_Pricing.xlsx | XLSX spreadsheet | |
| Memo Insurance Scope and Limites of Insurance 12.19.24.pdf | ||
| 2025-02-06 COI GL WC.pdf | ||
| COI 2025-10-03 GL WC.pdf | ||
| CTR074772_Contract_Documents.pdf | ||
| COI 2026-02-06 CGL WC.pdf | ||
| CTR074772 A1.pdf |
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Text version
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCEWITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILELIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBEREXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZEDREPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
12/12/2024
CM&F Group 5 Bryant Park, 4th Floor New York, NY 10018
Renee Palting 7339 n yucca via Tucson, AZ85704
CM&F Group 1-800-221-4904 info@cmfgroup.com
11843 MEDICAL PROTECTIVE COMPANY- MPC
Renee Palting 7339 n yucca via Tucson,AZ85704
A Professional Liability X VC6948 12/12/2024 12/12/2025 Per Incident Aggregate
1,000,000 6,000,000
Occurrence Coverage Lactation Consultant/IBCLC
Additional Insured for the Type(s) of Insurance marked with an "X" above:
Mindful Lactation, LLC 7339 N. Yucca Via Tucson, AZ85704
File details come from the government source that posted it. Updated .