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2025-199-E-IT Dept-Patagonia Health-Yearly Patagonia licenses for pharmacy ap
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2025-199-E-IT Dept-Patagonia Health-Yearly Patagonia licenses for pharmacy ap
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Last modified
5/29/2025 1:34:03 PM
Creation date
5/29/2025 1:33:56 PM
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Contract
Date
5/20/2025
Contract Starting Date
5/20/2025
Contract Ending Date
5/21/2025
Contract Document Type
Contract
Amount
$17,234.64
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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 10/27/2024 - 10/27/2025 Limit $5,000,000 <br />Carrier: Continental Casualty Company #768747364 10/27/2024 - 10/27/2025 Limit $5,000,000 <br />Carrier: Great American Fidelity Ins Co #CYXF11996401 10/27/2024 - 10/27/2025 Limit $5,000,000 <br />Carrier: Certain Underwriters at Lloyd's London #CEL-XCYB-2400260-00 10/27/2024 - 10/27/2025 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: 3C3BD817-278B-426B-8ECF-F366241F22F7
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