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Ac"Rbr CERTIFICATE OF LIABILITY INSURANCE 12/7/2016 DATEcMM/DD/YY(Y) 5/25/2016 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 ONTACT NAME: -— PHONE - — FAX - o Ext1: �— E-MAIL --- E-MAIL _ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC # (303) 414_6000 INSURER A: Arch Specialty Insurance Con71Jal1Y 21199 INSURED WellDyne RX, Inc. 1405981 500 Eagles Landing Drive Lakeland, FL 33810 INSURER B : Transportation Insurance Colnparty 20494 _ _ INSURER C : Continental Casualty —I� Coin an. 20443 INSURER D : ACE American Insurance Company 22667 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 14149761 REVISION Nt]MRFR- YYYYV ru 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVDI POLICY EFF POLICY NUMBER MM/DD/YYYY POLICY EXP MM/DD/YYYY " LIMITS A X COMMERCIAL GENERAL LIABILITY J CLAIMS -MADE �, OCCUR N N '7 FLPQ05�651-03 '.. 12/7/2015 2 1_/7/2016 EACH OCCURRENCE $ 1,000,1100 DAMAGE Tb RENTED PREMISES (Ea occurrence) _ $ 100 000 MED EXP (Any one person) _ $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY F. PRO- JECT LOC GENERAL AGGREGATE — $ 310001000 GEN'L PRODUCTS COMP/OP AGG ...... -- $ 3,000,000.... ---. OTHER: $ B AUTOMOBILE LIABILITY N N 5093294681 2/7/2016 2/7/2017 EOa aBcld DISINGLE LIMIT $ 1,000,000 Ix ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) - $ XXXXXXX HIRED AUTOS ONLY X.. AUTOS ONLY PROPERTY DAMAGE (Per accident) $ XXXXXXX $XXXXXXX A X UMBRELLA LIAB }{ OGGUR N N FLP00526.51-03 ' 12/7/2015 12/7/2016 EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 3,00C,00Q DED I RETENTION $ $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NI N / A N 6022940902 6/1/2016 6/1/2017 PER OTH- X STATUTE ER _. E.L. EACH ACCIDENT --- $ T,QQ0,000 E.L. DISEASE - EA EMPLOYEE ._— $ 1,000,000 (Mandatory in NH) If yes, describe under E.L DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below A D Pharmacy Prof. Liability PBM/TPA E&O Liability N N FLP0052651-03 12/7/2015 G25673529 2/7/2016 12/7/2016 2/7/2017 $1,000,000/$3,000.000 $1,000,000/$1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) *Please see attached list of Named Insureds* r' w I , 0 .. f Phi 14148761 City of Santa Ana ATTN: Christy Kindig 20 Civic Center Plaza, M-21 Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED r • baf,`A5 l ©1988- 015 ACORD CORPO ATION. All rinhts rasprvort ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD