PROOF OF INSURANCE (2023) CLOSEDPSYCHIATRISTS PROFESSIONAL LIABILITY INSURANCE
Certificate of Insurance
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.
This certificate does not amend, extend or alter the coverage provided by the insurance policy below.
1. NAME AND ADDRESS OF NAMED INSURED
David Paul Taylor, MD
The policy of insurance listed below has been issued to the named insured
2730 Wilshire Blvd., Suite 325
for the policy period indicated. Not withstanding any requirement, term or
Santa Monica, CA 90403
condition of any contract or other document with respect to which this
certificate may be issued or may pertain, the insurance afforded by the
policy described herein is subject to all the terms, exclusions and conditions
of such policy. Aggregate limits shown may have been reduced by paid
claims.
2. COMPANY
3. POLICY NUMBER 4. CERTIFICATE NUMBER
Fair American Insurance and Reinsurance Company
IN - FC009 - 033316291 800133
5. POLICY PERIOD
From: September 25, 2022
To: September 25, 2023
at 12:01 A.M. Standard Time
at 12:01 A.M. Standard Time
Retro Date (Group): September 25, 2006
Retro Date (N.I.): September 25, 2006
at 12:01 A.M. Standard Time
at 12:01 A.M. Standard Time
6. TYPE OF INSURANCE
7. COVERED SPECIALTY
Professional Liability
Psychiatry (MD)
8. EFFECTIVE LIMITS OF LIABILITY
COVERAGE STATE/RATING AREA OTHER STATES
Professional Liability per claim/Business Liability per claim/Aggregate
09/25/2022 $1,000,000 / $1,000,000 / $3,000,000
Claims Made CAI
9. NAME AND ADDRESS OF CERTIFICATE HOLDER
David Taylor, MD
Should the above described policy be canceled before the expiration date
2730 Wilshire Blvd., Suite 325
thereof, the company will endeavor to mail written notice to the certification
Santa Monica, CA 90403
holder named to the left, but failure to mail such notice shall impose no
obligation or liability of any kind upon the company, its agents or
representatives.
10. NAME AND ADDRESS OF ADMINISTRATOR
11. AUTHORIZED OFFICER OF COMPANY
Transatlantic Professional Risk Management and Insurance Services
4300 Wilson Boulevard, Suite 700
Arlington, VA 22203
Telephone: (800) 245-3333
J
clientservices@prms.com
August 23, 2022
President Fair American Insurance and Reinsurance Company
Date .........._�_
FAIR TPP0025 01 12
PSYCHIATRISTS PROFESSIONAL LIABILITY INSURANCE
Certificate of Insurance
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.
This certificate does not amend, extend or alter the coverage provided by the insurance policy below.
1. NAME AND ADDRESS OF NAMED INSURED
David Paul Taylor, MD
The policy of insurance listed below has been issued to the named insured
2730 Wilshire Blvd., Suite 325
for the policy period indicated. Not withstanding any requirement, term or
Santa Monica, CA 90403
condition of any contract or other document with respect to which this
certificate may be issued or may pertain, the insurance afforded by the
policy described herein is subject to all the terms, exclusions and conditions
of such policy. Aggregate limits shown may have been reduced by paid
claims.
2. COMPANY
3. POLICY NUMBER 4. CERTIFICATE NUMBER
Fair American Insurance and Reinsurance Company
IN - FC008 - 033316291 800133
5. POLICY PERIOD
From: September 25, 2021
To: September 25, 2022
at 12:01 A.M. Standard Time
at 12:01 A.M. Standard Time
September 25, 2006
Retro Date (Group):
September 25, 2006
Retro Date (N.I.): __ _........................�.
at 12:01 A.M. Standard Time
at 12:01 A.M. Standard Time
6. TYPE OF INSURANCE
7. COVERED SPECIALTY
Professional Liability
Psychiatry (MD)
8. EFFECTIVE LIMITS OF LIABILITY
COVERAGE STATE/RATING AREA OTHER STATES
Professional Liability per claim/Business Liability per claim/Aggregate
09/25/2021 $1,000,000 / $1,000,000 / $3,000,000
Claims Made CA]
9. NAME AND ADDRESS OF CERTIFICATE HOLDER
David Taylor, MD
Should the above described policy be canceled before the expiration date
2730 Wilshire Blvd., Suite 325
thereof, the company will endeavor to mail written notice to the certification
Santa Monica, CA 90403
holder named to the left, but failure to mail such notice shall impose no
obligation or liability of any kind upon the company, its agents or
representatives.
10. NAME AND ADDRESS OF ADMINISTRATOR
11. AUTHORIZED OFFICER OF COMPANY
Transatlantic Professional Risk Management and Insurance Services
4300 Wilson Boulevard, Suite 700
Arlington, VA 22203
Telephone: (800) 245-3333
-
r , *'
clientservices@prms.com
,�
August 23, 2022
President Fair American Insurance and Reinsurance Company
Date
FAIR TPP0025 01 12