C. CESARIO MEDICAL CONSULTING, LLC

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ACCPRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 04/30/2024 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 CONTACT NAME: Hiscox Inc. ONE IA/C.No Extl: (888)202-3007 FAX No): 5 Concourse Parkway E-MAIL. S: contact@hiscox.com Suite 2150 Atlanta GA,30328 INSURER(S)AFFORDING COVERAGE NAIC4 INSURER A: Hlscox Insurance Company Inc 10200 INSURED INSURER B C Cesario Medical Consulting LLC 200 14th street INSURER C: Key Colony Beach,FL 33051 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 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 TYPE OFINSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR _ INSD WVD POLICY NUMBER (MMIDDIYYWI (MMIDDWYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I I PRO ECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON.OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONOTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETORJPARTNERIEXECUTIVE Y/N NIA E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability Y UDC-2110737-EO-23 11/17/2023 11/17/2024 Each Claim: $1,000,000 Aggregate: $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,its City Council,officers,employees,agents and volunteers are added as additional Insured under the general liability and professional liability.It is endorsed with a Waiver of Subrogation in favor of the additional insured subject to policy terms and conditions.Insurance shall be primary and non-contributory.Hlscox will endeavor to provide 3 0-day notice of cancellation subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Attention:Kenneth Willard 20 Civic Center Plaza M-88,Santa Ana,CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOr "" "' """""' ACCORDANCE WITH THE POLICY PR(\ O N, RlekMana,gernentONisw1 g. 9 ec REVIEWED&APPROVED BY AUTHORIZED REPRESENTATIVE +/ 'I ;'T qq� qq yy ti &sp Adwtgta ^{` Risk Management Specialist y$ ©1988-2015 ACORDC• ..a.... :::.......... ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD