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PROOF OF INSURANCE (2024)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 - FC010 - 033316291 800133 5. POLICY PERIOD From: September 25, 2023 To: September 25, 2024 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 09/25/2023 $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 " ` clientservices@prms.com ✓ August 28, 2023 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 - FCO10 - 033316291 800133 5. POLICY PERIOD From: September 25, 2023 To: September 25, 2024 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 09/25/2023 $1,000,000 / $1,000,000 / $3,000,000 Claims Made CAI 9. NAME AND ADDRESS OF CERTIFICATE HOLDER MUFG UNION BANK, N.A. (ISAOA) Should the above described policy be canceled before the expiration date PO Box 29982 thereof, the company will endeavor to mail written notice to the certification Phoenix, AZ 85038 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 " ` clientservices@prms.com ✓ August 28, 2023 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 - FC010 - 033316291 800133 5. POLICY PERIOD From: September 25, 2023 To: September 25, 2024 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 09/25/2023 $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 " ` clientservices@prms.com ✓ August 28, 2023 President Fair American Insurance and Reinsurance Company Date FAIR TPP0025 01 12