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ACORO CERTIFICATE OF LIABILITY INSURANCE 11..� 2/16/2Ul PATE (Mnvop YYVY) 2/13/2020 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. 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). PRODUCER Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 CONTACT PHONE FAX A/c No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL N INSURERA: Arch Specialty Insurance Company 21199 INSURED WeIlDyneRX, LLC. 1424829 500 Eagles Landing Drive Lakeland, FL 33810 INSURER B: Zurich American Insurance Company 16535 INSURER c: National Union Fire Ins Cc Pitts. PA 19445 INSURER 0: Berkley Insurance Company 32603 INSURER E : INSURER F: a.vrEKAGES Uer$nr•ICA I e NUmtltH: 16191579 REVISION NUMB" • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P RIO IOD 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. INSR LTR TYPE OF INSURANCE ADpL INSO SUER WVD POLICY NUMBER POLICY EFF IMMUDOMWI POLICY EXP INIMIDWYYYY)LIMBS A X COMMERCWLGENERALLIABIDTV CLAIMS4sADE 1XI OCCUR N N FLP006017703 2/16/2020 2/16/2021 E EACH OCCURRENCE S 1 00O 000 -IAAMAGET ENTEO PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ $ 000 PERSONAL B ADV INJURY $ 1000000 AGGREGATE LIMIT APPLIES PER: POLICY E JECT Lee GENERAL AGGREGATE $ 3000000 GEN'L PRODUCTB-COMP/OPAGG $ 3000000 $ OTHER: A AUTOMOBILE X LIABILITY ANY AUTO OWNED LED AUTOS ONLYMASICTOSIDU HIRED NON -OWNED AUTOS ONLYAUTOS ONLY N N FLP006017703 2/162020 2✓1620LIMITEa COMBINED SINGLE LIMIT accident $ 1000000 BODILY INJURY (Per person) $ XXXXXX7C BODILY INJURY (Per accident) $ } PROPERTY DAMAGE IPerapoitlent $ xxxXxxX $ xxli� A X UMSRELLALWB N OCCUR N N FLP006017703 2/16/2020 2/16/2021 EACH OCCURRENCE $ 10000000 EXCESS LMB CLAIMS -MADE AGGREGATE $ 10,000,000 DEO I I RETENTION $ $ X%X%XRX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AN OFFICEWEMBER EXCLUDED'XCECUTIVE ] (Mandatory In NH) If yes, describe under NIA N V✓C014390903 2/162020 2/162021 _ X STATUTE 'ER" EL. EACH ACCIDENT $ 1000000 E.L. DISEASE -EA EMPLOYEE $ 1 000 000 E.L. DISEASE - POLICY LIMB $ 1000000 DESCRIPTION OF OPERATIONS below A C D Pharmacy Prof. Liab. PBM E&O Liab. Crime N N FLP006017703 039969656 BCCR4500242323 2/16/2020 2/162020 2/16/2020 2/16/2021 2/16/2021 2/162021 $IM/$3M Limit: $5M/Ret $250K Limit: $2M per Occ. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space is required) By RIEWMD & APPRpOYEl) 16191579 City of Santa Ana Risk Management Division 20 Civic Center Plaza, M-28 P.O. Box 1988 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. rinhfa •n--A ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD