AXIS COMMUNITY HEALTH (#2024586)

Ro® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/20/2025 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 terns 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 Edgewood Partners Insurance Center P.O. Box 2110 Rancho Cordova CA 95670 INSURED Axis Community Health, Inc. 5925 West Las Positas Blvd Suite 100 Pleasanton CA 94588 A: E: COVERAGES CERTIFICATE NUMBED&nonanacni ___ 20281 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 ADDL SUBR POLICY EFF POLICY EXP LT R TYPE OF INSURANCE WVD POLICY NUMBER MM/DD MM/D LIMITS A X COMMERCIAL GENERAL LIABILITY HCL251064 7/1/2025 7/1/2026 CLAIMS-MADEFkI OCCUR DAMEACOCCURRENCE $ 4,000,000 PREMISES Ea occurrence $ 500,000 MED FRCP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY ❑ JECOT- LOC PRODUCTS -COMP/OP AGG $Included OTHER: $ A AUTO MOBILE LIABILITY AL251064 7/1/2025 7/1/2026 COMBINED SINGLE LIMIT Ea accident)$2,000,000 ANYAUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE $ Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC251064 7/12025 7/12026 X PER OTH- STATUTE ER Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? N / A E.L. EACH ACCIDENT $ 2,000,000 Mandatory in NH) I (f yes, describe under E.L. DISEASE - Fly EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000.000 DESCRIPTION OF OPERATIONS below B A Crime - Employee Theft Professional Libility RD 5/01/77 HCL2511064 7/1/2025 7/1/2026 Limit: $400,000 Retention: $2,000 C Cyber Liability Each Claim $4,000,000 000 ES00140394811 7/1/2025 7/1/2026 A99: $5,000,000 D ducct:: $$1100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Excess Worker's Compensation, Carrier: Safety National Casualty Corporation, NAIC #15105, Policy #SP4066651, Term: 07/01/25-07/01/26, Statutory Limits Excess of $1,000,000. Re: All Contracts/Written Agreements between the Certificate Holder and the Insured. Additional Insured: City of Pleasanton, its officials, employees, agents and volunteers. When required by written contract, additional insured status with primary coverage and waiver of subrogation apply to General Liability and Workers' Compensation, all per the attached endorsements. City of Pleasanton, its officials, employees, agents and volunteers PO Box 520 Pleasanton CA 94566 ACORD 25 (2016103) 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 REPRESENTATIVE v 1956-21115 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD