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Patagonia Health Inc <br />00120135 <br />Tompkins Insurance Agencies, Inc <br />25 Certificate of Liability Insurance: Notes <br />Technology E&O/Cyber Liability Coverage: <br />Carrier: Coalition Insurance #C4LRN111050 10/27/2023 - 10/27/2024 Limit $5,000,000 <br />Carrier: Continental Casualty Company #768747364 10/27/2023 - 10/27/2024 Limit $5,000,000 <br />Carrier: Great American Fidelity Ins Co #CYXF11996400 10/27/2023 - 10/27/2024 Limit $5,000,000 <br />Carrier: Princeton E & S Lines Ins Co #5DA3FF000034900 10/27/2023 - 10/27/2024 Limit $5,000,000 <br />ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />DocuSign Envelope ID: DA2EF093-C4D3-45EE-8D0D-4482321D9D24