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,aco�zo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 2/16/2020 1 2/15/2019 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 CONTACT PH NE FAX AIC No Ext : A/C, No): E-MAIL ADDRESS: (303) 414-6000 INSURERS AFFORDING COVERAGE NAIC # INSURER A; Arch Specialty Insurance Company 21 199 INSURED WellDyneRX, LLC. 1424829 500 Eagles Landing Drive Lakeland, FL 33810 INSURER B : Zurich American Insurance Company 16535 INSURERC: Lexington Insurance Company 19437 INSURER D : Ll0 ds of London A-�v/`�C//((// INSURER E: Berkley Insurance Company 32603 INSURER F : //�007 COVERAGES CERTIFICATE NUMBER: 14516082 REVISION NUMBER• 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 LTR TYPE OF INSURANCE ADDL INSD SUBR NVD POLICY NUMBER POLICY EFF IMMIDDNYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR N N FLP006017702 2/16/2019 2/16/2020 EACH OCCURRENCE 1,000,000 PREMISES (Ea occurrrence) $ 100,000 MED EXP (Any oneperson) 5,000 PERSONAL & ADV INJURY $ 1 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER. PRO - POLICY❑ PRO- ❑ LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 OTHER: A AUTOMOBILE LIABILITY N N FLP006017702 2/16/2019 2/16/2020 Ee eBINEDtSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XXXXXX AT ED OS ONLY AUTOS NON -OWNED X PROPERTY Prr accident) $ XXXXXXX $XXXXXXX • X UMBRELLA LIAB X OCCUR N N FLP006017702 2/16/2019 2/16/2020 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX B WORKERS COMPENSATION AND EMPLO ERS' L ABILI Y Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory in NH) IMf yes, tlescribe untlnd er DESCRIPTION OF OPERATIONS below N / A N WC014390902 2/16/2019 2/16/2020 X STATUTE VTR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 A C D E Pli acyProf. Liab. PBM E&O Liab. Cyber Cruse N N FLP006017702 011741917 MPLI84736419 BCCR4500242322 2/16/2019 2/16/2019 2/16/2019 2/16/2019 2/16/2020 2/16/2020 2/16/2020 2/16/2020 VIV1/$3M Limit: $8M/Ret $250K Limit: $1OM Ea. Claim/$IOM Agg Limit: $2M per Oce. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) -I" rk ANI.tLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14516082 AUTHORIZED REPRESENTATIVE City of Santa Ana ATTN: Christy Kindig 20 Civic Center Plaza, M-21 Santa Ana, CA 92701 ACORD 25 (2016/03) @1 988-20A ACOR6 CORP RATION_ All rinhtc roc-cl The ACORD name and logo are registered marks of ACORD