HEALTHY OUTCOMES, INC. DBA BALANCING ACT

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Digitally signed by Francine R. Francine R. Villareal Villareal ACCARa• CERTIFICATE OF LIABILITY INSURANCE Ill 1 11/9/2021 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 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 TAPCO- KL (5576) PO Box 286 Burlington, NC 27216 CONTACT NAME PHONE (A/C No, Ext): FAX (A/C No): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED HEALTHY OUTCOMES INC. 7897 E 24TH AVE DENVER, CO 80238 INSURER A: United States Liability Insurance Company 25895 INSUREB B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDL INSR SUBR MD POLICYNUMBER POLICY FEE (MMODNYYY)(MWDD/YVYY) POLICY EXP LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR MTK1565488A 3/13/2021 3/13/2022 EACH OCCURENCE $1.000,000 RAMR� .occurrr ence) $WO,000 MED EXP (Any one person) $10,000 PERSONAL& ADV INJURY GEN'L X GENERALAGGREGATE $2,000.000 AGGREGATE LIMIT APPLIES PER POLICY FPRO- IFCTLOC PRODUCTS-COMP/OP AGG AUTOMOBILE LIABILITY ANY AUTO ALLON/NED SRC�st71EDULED HIUURTTEOODSSAUiOS AUTO WNED CO aBiNDtcci SINGLE LIMIT $ BODILY INJURY( Per parson) $ BODILY I NJUpoRV(Per accident$ Pare gent)AMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ AND WORKERS COMPENSASION AND EMPLOYERS' LIABILITY ANY CPREOPRIETORJPARTNERIEXECUTIVEV/❑N (M 15 to MEkR�� EXCLUDED? (�((b1 tltl ��yy ��dd D99sCRWIO PI&PERATIONS below N/A qq ttII ICU - I"ITS ER E.L.CIDENT $ -EA EMPLOYEE PGATE $ E-POLICY LIMIT $ A Technology Professional Liability MTK1565488A 3/13/2021 3/13/2022 $2.000,000 GREGATE $2,000,000 DEDUCTIBLE EACH CLAIM $0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (See attached AcoN 101 for addi9onal liability limits) Errors 8 Ommissians - The City of Santa Ana, officers, agent, employees and volunteers is an additional insured per BP 137 (02-09) The City of Santa Ana, officers, agents, employees and volunteers is an additional insured per BP 0448 01 06BPA1 06/09 Blanket Additonal Insured is pad of this policy. 11iN-llmiLgJ4Ji[/ City of Santa Ana, Officers, Agents, Employees and Volunteers Risk Management Division 20 Civic Center Plaza 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. The ACORD name and logo are registered marks of ACORD s 0 P"Mm aMeN tDn m I?FmEwm& APPROVBy. we R. V:lGWAI Risk Management Niatyst