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A4C4[:>R"r CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYVYY) t2/7/20t6 1 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 a dorsement(s). PRODUCER Lockton Companies 8 t 10 E. Union Avenue Suite 700 Denver CO 80237 CNT OACT NAME: PHONE FAX IC No rzf: AIC No: EMAIL ADDRESS: (303)414-6000 INSURED WeIlDyne RX, Inc. 1405981 500 Eagles LandingDrive Lakeland, FL 33810 INSURERS AFFORDING COVERAGE NAICA INSURER A: Arch Specialty Insurance Company 21199 INSURER B : Trans ortatlon Insurance Company 204.94 IrvsugeR c:CODtlnental Casualty Company 20443 INSURER D: ACE American Insurance Company 22667 INSURER E : INSURER F: C111/7RArOFC nconannTr-n -------"'—"—"'--"' nCVIOIVIV IVU11flot'S: XXXXXXX 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 ADDL SUBR LTq I TYPE OF INSURANCE NSD WVD POLICY NUMBER MOLICYYVY Pot MYI'sp LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR N N FLP0052651-03 12/7/20I5 12/7/2016 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: Poucv n PRO- JECT LOG GENERAL AGGREGATE $ 3 000 000 PRODUCTS COMRADE AGO $$ 3000000 OTHER', - --- $ B AUTOMOBILE X X LIABILITY ANYAUOWNEDO OWNED SCHEDULED AUTOS ONLY _X_ AUTOS HIRED X. NON -OWNED AUTOSONLV AUTOS ONLY N N 5093294681 12/7/2016 2/7/2017 COMBINED SINGLE LIMIT Ea accident $ 100Q000 BODILY INJURY (Par person) $ XX XXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE Per accldenl - $ XXXXXXX $XXXXXXX A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS MADE N N FLP0052651-03 1 12/7/2015 12/7/2016 EACH OCCURRENCE ,AGGREGATE _$ 3 0�0 Q00 $ 3 000,000 C DEBT RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatorytyes,d in NH) N/ A N 6021940902 '., 6/1/2016 6/l/2017 ORH- X STATUTE I '$ XXXXXXX E.L, EACH ACCIDENT $ 1 00000 0 E.L. DISEASE - EA EMPLOYEE _ .$ 1 000 000 A * Nantler DESCRIPTION DESCRIPTION OF OPERATIONS below Pharmacy Prof. Liability PBM/TPA E&O Liability N N FLP0052651-03 1 12 9 G25673529 0 /7/-U15 J7/2016 12/7/2016 2/7/2017 E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 1,000,000/$3, $1,000,000/$L,000,000 00,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) *Please see attached list of Named Insureds* rcCTICIn ATM unl not 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 ©1988. 015 ACORD CORPOFrATI0M E00 fit AUUISU ZO le5JI 3) The ACORD name and logo are registered marks of ACORD