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COI Expires 01/01/2020 ® DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 01/02/2019 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 have ADDITIONAL INSURED provisions or 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 CONTACT MARSH USA INC. PHOPHONE ` 501 MERRITT 7 (NC.N o.Ext): (A/C,No): NORWALK,CT 06856-6010 E-MAIL Attn:Norwalk.certrequest@marsh.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN102271894ENVIS-GAWXM-19- INSURER A:Allied World Assurance Company,Inc. 19489 INSURED 22667 Envision Pharmaceutical Holdings,LLC INSURER a:ACE American Insurance Company 2181 East Aurora Road,Suite 201 INSURER C:N/A N/A Twinsburg,OH 44087 INSURER D:Indemnity Insurance Company of North America 43575 INSURER E:ACE Fire Underwriters Insurance Company 20702 INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-008864003-22 REVISION NUMBER: 9 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP/Y LIMITS LTRINSD WVD POLICY NUMBER (MM/DDYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 0309-3594 01/01/2019 01/01/2020 EACH OCCURRENCE $ 5,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 500,000 MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ 5,000,000 OTHER: $ B AUTOMOBILE LIABILITY ISA H25273011 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE • $ DED RETENTION$ $ D WORKERS COMPENSATION WLR C65434490(AOS) 01/01/2019 01/01/2020 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B Y/N WLR C65434532(AZ,MA,CA) 01/01/2019 01/01/2020 2,000,000 OFFICER/MEMBER 1ETOEXCLUDED?ECUTIVE N N/A E.L.EACH ACCIDENT $ E (Mandatary in NH) SCF C6543457A(WI) 01/01/2019 01/01/2020 E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Healthcare Facilities 0309-3594 01/01/2019 01/01/2020 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(12/06)Monroe County Board of County Commissioners is included as additional insured where required by written contract with respect to General Liability. B PRe •Di `� NT :UP ((gy��pp �^n�/�. DATE L>tF.Z7 S� w I aletZhl \Y,t V) WAIVER /' • CERTIFICATE HOLDER CANCELLATION 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 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102271894 LOC#: Norwalk ACO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA INC. Envision Pharmaceutical Holdings,LLC 2181 East Aurora Road,Suite 201 POLICY NUMBER Twinsburg,OH 44067 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance EXCESS WORKERS'COMPENSATION CARRIER: ACE American Insurance Company POLICY NUMBER:WCU C65434611(OH,OR,WA) EFFECTIVE DATE:01/01/2019 EXPIRATION DATE:01/01/2020 EACH ACCIDENT: $1,000,000 EACH EMPLOYEE: $1,000,000 SIR: $1,000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATE 19(M ACOR D MIDD/YYYY) IJ CERTIFICATE OF LIABILITY INSURANCE ATE(Mo 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 have ADDITIONAL INSURED provisions or 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 CONTACT MARSH USA INC. PHONE FAX NAME: 501 MERRITT 7 (A/C,No,Ext): (NC,No): NORWALK,CT 06856-6010 E-MAIL Attn:Norwalk.certrequest@marsh.com ADDRESS. INSURER(S)AFFORDING COVERAGE NAIC# CN102271894-ENVIS-GAWXM-19- INSURER A:Allied World Assurance Company,Inc. 19489 INSURED viin Pharmaceutical Holdings,LLC INSURER B N/A N/A 2181 East Aurora Road,Suite 201 INSURER C:N/A N/A Twinsburg,OH 44087 INSURER D:N/A N/A INSURER E:N/A N/A INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-008864003-25 REVISION NUMBER: 11 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 0309-3594 01/01/2019 01/01/2020 EACH OCCURRENCE $ 5,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 500,000 • GEMEN7 MED EXP(Any one person) $ "{( 5,000,000 ", PERSONALBADVINJURY $ D•A, 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: +pR ER Y GENERAL AGGREGATE $ X POLICY JECT PRO LOC PRODUCTS-COMP/OP AGG $ 5,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Healthcare Facilities 0309-3594 01/01/2019 01/01/2020 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-B99(12/06)Monroe County Board of County Commissioners is included as additional insured where required by written contract with respect to General Liability. CERTIFICATE HOLDER CANCELLATION 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 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102271894 LOC#: Norwalk ACO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA INC. Envision Pharmaceutical Holdings,LLC 2181 East Aurora Road,Suite 201 POLICY NUMBER Twinsburg,OH 44087 CARRIER NAIC CODE EFFECTIVE DATE: • ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance CRIME • POLICY#:83 Fl 028851619 INSURANCE CARRIER:HARTFORD FIRE INSURANCE CO. POLICY DATES:01/31/2019 TO 01/31/2020 LIMIT:$5,000,000 DEDUCTIBLE:$50,000 • ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHEDULE A-SCHEDULE OF INSURED ENTITIES Account Name:RediClinic,LLC insured Entity ... Retroactive Kato g hffectiv Date:, Tenninatian Date Advance Benefits,LLC . 1l112009 1/1/2016 Ascend Health Technology LLC 3/15/2012 1!1l2016 British United Provident Associated Ltd.(only as respects to their • ownership of Health Dialog Services Corportion) 1/16/2008 1/1/2018 BUPA US Holdings II Inc. 1/16/2008 11.1/2016 1/1/2009 1/1/2016 Design Rx,LLC 7/1/2004 1/1/2016' Designrxclusives,LW 1/1/2009 1/1/201B Envision Insurance Company 1/1/2009 1/1/2018 Envision Medical Solutions,LLC 1/1/2009 1/1/2016 Ernrision Pharmaceutical and all subsidiaries 1/1/2009 1/31/2016 Envision Pharmaceutical Holdings LLC 1/1/2009 1/1/2016 . Envision Pharmaceutical Services,LLC 1/1/2009 1/1/2016 ErnrisionPharrrracies 1/1/2009 5/1/2016 EnvisionRx Puerto Rico,Inc. 10/20/2015 1/1/2016 Fairview Medical Services Corporation 411/1997 • 1/1/2016. First Florida Insurers of Tampa;LLC 1/1/2009 1/1/2016 Hackensack Meridian RediClinic,LLC 6/29/2016 6/29/2016 Health Dialog Analytic Solutions Inc. 6/2/2005 1/1/2016 Health Dialog Data Services Inc. 11/15/2001 1/1/2016 Health Dialog Inc. 4/1/1997 '1/1/2016 Health Dialog Services Corporation 4/1/1997 1/1/2016 Health Dialog UK Limited 5/23/2005 1/1/2016 12/31/2011 Health Services Dialog Corporation 4/1/1997 1/1/2016 Hunter Lane,LLC 8/13/2013 1/1/2016 Laker Software,LLC 11/25/2013 1l112016 MedTrak Services,LL.C, 1/1/2009 1/1/2016 Meridian RediClinic,LLC 8/1/2018 8/1/2018 Orchard Pharmaceutical Holdings 1/1/2009 1/1/2016 Orchard Pharmaceutical Services,LLC 1/1/2009 111/2016 5/1/2016 RCMH,LLC 3/12l2007 1/1/2016 RediClinic Associates,Inc. 1/14/2009 1/1/2016 RediClinic Austin,LLC 2/1112014 1/1/2016 RediClinic of Austin,LLC 1/1/2015 1/1/2016 RediClinic of Chicago,LLC 9/812015 1/1/2016 RediClinic of Dallas Fort-Worth,LLC 5/19/2015 1/1/2016 RediClinic of DC,LLC 5/19/2015 1/1/2016 .RediClinic of DE,LLC . 5/19/2015 1/.1/2016 10/31/2016 RediClinic of MD,LLC 8/19/2014 1/1/2018 RediClinic of PA,LLC 8/20/2014 1/1/2016 RediClinic of VA,LLC 4/1/2015 1/1/2016 RediClinic of WA,LLC 8/29/2014. 1/1/2016 RediClinic US,LLC 3/17/2008 1/1/2016 RediClinic,LLC • 4/26/2005 1/1/2016 Rite Aid for Ownership Interest Only 6/24/2015 1/1/2016 RiteAid Pharmacy(for ownership interest only) 4/1/2014 1/1/2016 Rx Initiatives,L.L.C. 1/1/2009 1/1/2016 RX Options,LLC 1/1/2009 1/1/2016'