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COI Expires 01/01/2018ACo CERTI ^ATE OF LIABILITY INSU "'rE D;T`jMMIDDFYYM / 20= 6 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 cartlflcats holder is an ADDITIONAL INSURED, the po8cy(les) must 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 andomementfal_ PRODUCER MARSH USA INC. CONTACT 501 MERRITT 7 PHONE FAx NORWALX, CT 068"10 flAll ABn: NcnvWcw09quesgVnalsb,= INSURERS AFFORDING COVERAGE NAIC e N S752•ENWLSGAW)(t�17.18 INSURER A: Atled YYwb Assurance Company, Inc VWA INSURED EnW don Pharmacarkal HoU ps, LLC INSURER 0 : TravOWS PMWIY Casualty Co. of America 2181 Ent Aurora Road, Suite 201 INSURER C WA Twlnspap, OH 44087 INSURER D: The Trawlers IndernniN COmpam COVFRA(%.FQ ^120-r elf%Aww .0 ,u—mow_ -----• •—•• •,..WvaR.W.tia KCVIDIL)N NUMBER:t 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 NTH 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 I LTR TYPEOFINSURANCE LK:Y NUMBER PO EFF Y SKIP 01101/2018 LIMITS , A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Q OCCUR 0309.3594 D11D112017 EACH OCCURRENCE a 59w,000 =� S NED EXP am PERSONAL a ADV INJURY S 5,000.000 GEN'LAGGREGATE L"TAPPLIES PER. X POLICY EAR LOC OTHER GENERAL AGGREGATE i 5,000000 PRODUCTS • COrdP/0P AGO S 5,000,000 S B AUTOMONLE LIABILITY X ANY ALTO ALL OWNED WHEDULED AUTOS AUTOS HIRED AUTOS AUTOS CEO C2JCAP449X072-17 ot/011ZD17 o110112018 MetNEo LIMIT s 5.000,000 BODILY INJURY (Par Mao rn) S BODILY INJURY (Per aaydrr) a PR PERTY S i 8 D B A j5ZENTION EXCESS HCLAIIAS OCCUR -IMDE NIA TC2JUB•7442L10A-17 (ADS) TRKUB-7442L111.17 (AZ,MA) TWXJU&744211231T{OH,ORKSkS1M) 309.3594 01101r1017 01101/2017 0110112017 01//112017 1 1 0IM1f201B 01/0112018 EACH OCCURRENCE ?< AGGREGATE S S= WORKERS COMPENSATION AND EMPLOYELIABILITY AEMPLOYERS' LIABILITY PROPRIETORIPARTNEMECUTIVE YIN OFFICEMWEMBER EXCLUDED? (Mandatory in NH) DESGRIIP 0� RATIONS W. HeaMlcareFad des X ER E L EACH ACCIDENT S 2,000,000 E.L. DISEASE - EA EMPLOYE S 2,000,000 E L. DISEASE - POLICY LIMIT S 2,000,000 SEE ATTACHED Medal Profealonal Liability (CLAIMS MADE) 111111011 SEE ATTACHED DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORO 101, Addlional Remarks SehWuie, may be anachad Ir,tore apace Is required) G•147167-M9 (12M6) Mum County Board of County Commissioners is inquded as additional insured where required by... domed with rasped to General Uaoty. BAY E ENT CE RTIRICATF 41ni nFR Maude County Board of County Corrarlfs wer5 1100 Slrnonlon SL, Suite 2.268, Key west, FL 33040 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 of Marsh USA Inc. Nancy Kaibfeil 01988-2014 ACORO CORPORATION_ na.Vrw sa tcuTwulf The ACORD name and logo are registered marks of ACORD ACOR 7 0 C40 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 02/28/2017 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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 MARSH USA INC. 501 MERRITT 7 CONTACT NAME: PHONE fX aC No): E-MAIL ADDRESS: NORWALK, CT 06BW6010 Attn: Norwalk.certrequest@marsh.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Allied World Assurance Company, Inc. 19489 416752-ENVIS-GAWXM-17-18 INSURED Envision Pharrnaceutcal Holdings, LLC 2181 East Aurora Road, Suite 201 INSURER B : Travelers Property Casualty Co. of America 25674 INSURER C : WA WA INSURER D : The Travelers Indemnity Company 25658 Twinsburg, OH 44087 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-008227067-16 REVISION NUMBER:6 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 0309-3594 01/01/2017 01/01/2018 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE M OCCUR DAMAGE T RENTED PREMISES Ea occurrence) ccurrence $ 500,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 PRO ❑ X PRO - POLICY ❑ LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER: B AUTOMOBILE LIABILITY TC2JCAP-8049X072-17 01/01/2017 01/01/2018 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION TC2JUB-7442L10A-17 (AOS) 01/0112017 01/01/2018 X STATUTE ERH D AND EMPLOYERSLIABILITY ' Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE CUTIVE TRKUB-7442LI11-17 (AZ, MA ) 01/01/2017 01/01/2018 E.L. EACH ACCIDENT $ 2,000,000 B OFFICER/MEMBER EXCLUDED?DED? � (Mandatory in NH) N / A TWXJUB-74421123.17(OH,OR)(Sir$1M) 01/0112017 01/01/2018 E.L. DISEASE - EA EMPLOYE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below Ex(kSS WC E.L. DISEASE - POLICY LIMIT $ 2,000,000 A Healthcare Facilities 309-3594 01/01/2017 01/01/2018 SEE ATTACHED Medical Professional Liability (CLAIMS MADE) SEE ATTACHED DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) G-147167-899 (12106) Monroe County Board of County Commissioners is included as additional insured where required by written contract with respect to General -Liability. GEMENT� AAPPVWN/A Monroe County Board of County Commissioners 1100 Simonton St., Suite 2-268, Key West, FL 33040 UANUr-LLA 1 IVN 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 of Marsh USA Inc. Nancy Kalbfell 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD THE FOLLOWING SCHEDULE OF INSURED ENTITIES APPLIES TO AWAC POLICY, POLICY 0309-3594 ONLY HEALTHCARE FACILITIES MEDICAL PROFESSIONAL LIABILITY LIMITS EACH CLAIM. $5,000,000 AGGREGATE FOR ALL CLAIMS: $5,000,000 SHEDULE A - SCHEDULE OF INSURED ENTITIES Accourt Name: RediChnic, LLC Advance Benefits, LLC • 11112009 .. �tr1i , 11112016 Ttw Ascend Health Technology LLC 3/15/2012 11112016 British United ProvidentAssociated Ltd.(ontyasrespects totheir ovmrshp of Health Dialog Services Corpwbon) 1/18/2008 11112DIS BUPA US Holdings II Inc. 111612008 111/2016 Design Rx Holdings LLC 111/2009 1/112016 Design Rx, LLC 71112004 111/2016 Designrxclusive% LLC 111/2009 1111ZD18 Envision Insurance Company 1/1/2009 1/112018 Envision Medical Solutions, LLC 1/1/2009 111/2D16 Errosion Pharmaceutical and all subsidiaries 111/2009 113112DIS Envision Pharmaceutical Holdings LLC 111/2009 111/2016 Envision Pharmaceutical Services, LLC 1/112009 11112016 Emission Pharmacies 1/1/2009 51112016 EwAsionRx Puerto Rico, Inc. 10/20/2015 111/2016 Fairview Medical Services Corporation 4/111997 11112016 First Flonda Insurers of Tampa, LLC 111/2009 1/112015 Hackensack Mendian RediClinic, LLC IV2912016 612912016 Health Dialog Analytic Solutions Inc. 6/2/2005 1/1/2013 Health Dialog Data Services Inc. 1111512DDI 11112018 Health Dialog Inc. 411/1997 11112D16 Health Dialog Services Corporation 41111997 1/1/2016 Health Dialog UK Limited 5/23/2005 1/112016 1213112011 Health Services Dialog Corporation 4/1/1997 1/1/2016 Hurter Lane, LLC 811312013 1/112016 Laker Sofhvare, LLC 11/2512013 111/2016 IledTrok Services, LL.C. 1/1/2009 1/112018 Meridian RediCinic, LLC 8/1/2016 W112DIS Orchard Pharmaceutical Holdings 1/112009 1/1/2018 Orchard Pharmaceutical Services, LLC 1/1/2009 11112016 5/1/2016 RCMH, LLC 3/12/2007 11112t116 RediClinic Associates, Inc. 111412D09 111/2018 RediClinic Ausbn, LLC 2/1112014 111/2016 RediClinic of Austin, LLC 1/112015 11112018 RediClinic of Chicago, LLC 918/2015 111/2016 RediClinic of Dallas Fort -Worth, LLC 5/19/2015 1/1/2016 RediClinic of DC, LLC 5/19/2015 1/112010 RediClinic of OF, LLC 511912015 1/1/2016 1D13112D18 RediChnic of MD, LLC 8119IM14 111/2010 RediClinic of PA, LLC 8/2012014 1/1/2016 RediClinic of VA, LLC 4/1/2015 111/2016 RediCliric of WA, LLC 8/29/2014 1/112016 RediClinic US, LLC 311712008 1/112018 RediClinic, LLC 412&2005 1/1/2018 Rite Aid for Ownership Interest Only 6/24/2015 1/112016 RrwAid Pharmacy (forownerstep interest only) 41112014 111/2016 Rx Initiatives, L.L.C. 11112D09 1/1/2015 RX Options, LLC 1/112009 11112016 Updated 12/13/2016 v2431 (12/2008) SCHEDULE A - SCHEDULE OF INSURED ENTITIES ACC)R E0® CERTIFICATE OF LIABILITY INSURANCE DATE ( YYY) o3/17/2017/zo17 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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 MARSH USA INC. 501 MERRITT 7(A/C. CONTACT NAME: PHONE �FAX No Ext : AIC No): E-MAIL ADDRESS: NORWALK, CT 06856-6010 Attn: Norwalk.certrequest@marsh.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Allied World Assurance Company, Inc. 19489 416752-ENVIS-GAWXM-17-18 INSURED Envision Pharmaceutical Holdings, LLC 2181 East Aurora Road, Suite 201 INSURER B : Travelers Property Casualty Co. of America 25674 INSURER C : N/A N/A INSURER D : The Travelers Indemnity Company 25658 Twinsburg, OH 44087 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: NYC-008227067-17 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DDY/YYYYEFF MM DCEXP DIIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 0309-3594 01/01I2017 01/Ot/2018 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE � OCCUR DAMAGES (RENTED PREMISES Ea occurrence) $ 500,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 5,000,000 AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 5,000,000 GEN'L X POLICY ❑ JECT PRO D LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER: B AUTOMOBILE LIABILITY TC2JCAP-8049XO72-17 01/01/2017 01/01/2018 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTYDAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B D B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YI ANY PROPRIETOR/PARTNER/EXECUTIVE ❑N OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) NIA TC2JUB-74421_10A-17 (AOS) TRKUB-7442L111-17 (AZ, MA) TWXJUB-74421123-17(OH,OR)(Sir$1M) 01/01/2017 01/01/2017 01/01/2017 01/01/2018 01/01/2018 01/01/2018 X IPER STATUTE OERH E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYE $ 2,000,000 If es, describe under DESCRIPTION OF OPERATIONS below Excess WC E.L. DISEASE - POLICY LIMIT $ 2,000,000 A Healthcare Facilities 0309-3594 01/01/2017 01/01/2018 SEE ATTACHED Medical Professional Liability (CLAIMS MADE) SEE ATTACHED DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) G-147167-899 (12/06) Monroe County Board of County Commissioners is included as additional insured where required by written contract with respect to General Liabilit . APPR E EMENT�,�j JA { � ', DA �� % CAee _ N/A E f_ � r "t4Cc-1 CERTIFICATE HOLDER CONCFI I OTION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St., Suite 2-268, ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Nancy Kalbfell--x---,y, 10--r—k6 L ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD THE FOLLOWING SCHEDULE OF INSURED ENTITIES APPLIES TO AWAC POLICY, POLICY 0309-3594 ONLY HEALTHCARE FACILITIES MEDICAL PROFESSIONAL LIABILITY LIMITS EACH CLAIM: $5,000,000 AGGREGATE FOR ALL CLAIMS. $5,000,000 SHEDULE A - SCHEDULE OF INSURED ENTITIES Account Name: RediClinic, LLC Advance Benefits, LLC 1/112009 111/2018 Ascend Health Technology LLC 3115/2D12 111/2018 British United Provident Associated Lod. (only as respects to their ownership of Health Dialog Services Corportion) 111612DOB 11112016 BUPA US Holdings II Inc. 1/1612DDB 111/2018 Design Rx Holdings LLC 111/2009 11112018 Design Rx, LLC 71112004 1/112015 Desigrrxclusives, LLC 111/2009 11112016 Envision Insurance Company 111/2009 111/2013 Envision Medical Solutions, LLC 1/1/2009 11112016 Ermdsion Pharmaceutical and all subsidiaries 11112D09 113112016 Envision Pharmaceutical Holdings LLC 111/2DD9 11112D16 Envision Pharmaceutical Services, LLC 1/1/2D09 111/2016 Envision Pharmacies 1/1/2009 51112016 EnvsionRx Puerto Rico, Inc. 1D12012015 11112D16 Fairview Medical Services Corporation 411/1997 11112D16 First Florida I nsurers of Tampa, LLC 1/1/2009 11112D16 HackensackMeridianRediClinic,LLC 6/2912010 612912016 Health Dialog Analytic Solutions Inc. 612120D5 11112D16 Health Dialog Data Services Inc. 1111512D01 11112D16 Health Dialog Inc. 411/1997 11112D16 Health Dialog Services Corporation 4/111997 11112D16 Health D ialog UK Limited 512312D05 1/1/2018 1213112011 Health Services Dialog Corporation 4/111997 1/1/2016 Hunter Lane, LLC 8113/2D13 1/112016 LakerSoftimare, LLC 11/2512013 11112D16 MedTrak Services, L.L.C. 111/2009 11112D16 Meridan RediClinic, LLC 811/2016 8/112010 Orchard Pharmaceutical Holdings 111/2009 11112018 Orchard Pharmaceutical Services, LLC 11112009 11112010 51112016 RCMH, LLC 311212t107 1/112018 RediClinic Associates, Inc. 1114120D9 11112016 RediClinic Austin, LLC 211112D14 1/1/2016 RediClinic of Austin, LLC 11112D15 111/2010 RediClinic of Chicago, LLC 91812D15 1/112018 RediClinic of Dallas Fort -Worth, LLC 511912D15 1/1/2016 RediClinic of DC, LLC 5/1912015 111/2015 RediClinic of DE, LLC 511912D15 1/1/2016 1013112016 RedClinic of MD, LLC 8/1912014 11112016 RediClinic of PA, LLC 8/2012014 1/112016 RediClinic of VA, LLC 41112D15 111/2013 RediClinic of WA, LLC 8/29/2014 1/112018 RedClinic US, LLC 311712DD8 11112015 RediClinic, LLC 4126/2DD5 1/112013 RiteAid for Ownership Interest Only 8/2412015 11112015 RiteAid Pharmacy (forownership interest only) 411/2D14 111/2016 Rx Initiatives, L.L.C, 1/1/2009 1/112013 RX Options, LLC 11112009 1/112015 Updated 12/13/2016 v2431 (12/2008) SCHEDULE A - SCHEDULE OF INSURED ENTITIES