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Certificates of Insurance SARNINC-01 JGOLDBERG ACORO"° CERTIFICATE OF LIABILITY INSURANCE DAT/17/2D/YYYY) 023 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 Daniel R NAME: . Gunter Thompson Flanagan Executive Liability Group PHONE FAX -1551 626 W.Jackson Blvd.5th Floor (A/C,No,Ext): (312)239-2890 No>:(312)263 Chicago,IL 60661 E-MAIL dgunter@thompsonflanagan.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Property Casualty Co. of America 25674 INSURED INSURER B: Sarnova,Inc.Bound Tree Medical,LLC INSURER 7 5000 Tuttle Crossing Blvd. P.O.Box 8023 INSURER D: Dublin,OH 43016 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYEl JJECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT BODILYdINJtURY Per person) $ ANY AUTO1r4 OWNED SCHEDULED � " AUTOS ONLY AUTOS 4 j a m�� BODILY INJURY Per accident $ HIRED NON-OWNED y Zn. l7 PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY q Per accident $ UMBRELLA LIAB OCCUR WAMM EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER ORH- AND EMPLOYERS'LIABILITY STATUTE E Y/N UB 3P279151 12/1/2022 12/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 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 Monroe County BOCC 1111 12th St.,Suite 408 Key West FL 33040 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �•—� DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 12/15/2022 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 R NAME: AOn Risk services Northeast, Inc. PHONE FAX w Columbus OH Office (A/C.No.Ext): (866) 283-7122 A/C No : (800) 363-0105 445 Hutchinson Avenue E-MAIL = Suite 900 ADDRESS: Columbus OH 43235 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: PrOAssurance Specialty Insurance company 17400 Sarnova, Inc., Bound Tree Medical, LLC INSURER B: Federal Insurance company 20281 5000 Tuttle crossing Blvd. Dublin OH 43016 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570096829779 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. Limits shown are as requested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDNYYY MM/DD/YYyYL LIMITS B X COMMERCIAL GENERAL LIABILITY Y 36073395 12 01 2022 12 01 2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X❑OCCUR DAMAGE TO RENTED $1,000,000 PREMISES Ea occurrence MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 rn POLICY �PEO ❑LOC PRODUCTS-COMP/OPAGG Excluded rn OTHER: o r B AUTOMOBILE LIABILITY Y 7363-09-65 12/01/2022 12/01/2023 COMBINED SINGLE LIMIT $1,000,000Ea accident X ANYAUTO BODILY INJURY(Per person) 0 O OWNED SCHEDULED BODILY INJURY(Per accident) z AUTOS AUTOS ONLY "M HIREDAUTOS NON-OWNED PROPERTY DAMAGE tp ONLY AUTOS ONLY Per accident U 'E W B X UMBRELLA LIAB X OCCUR 78197881 12/01/2022 12/01/2023 EACH OCCURRENCE $10,000,000 O EX EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I RETENTION $10,000 WORKERS COMPENSATION AND I PER STATUTE I OTH EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Products Liab N220H380021 12/01/2022 12/01/2023 Aggregate Limit $10,000,000 claims Made Agg Deductible $150,000=_ Per Occ Limit $10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Account No. 104754. Monroe county BOCC is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. see Attach Addendum for Named Insured Includes. _ 1r ', CERTIFICATE HOLDER CANCELLATION I - WAW SHOULD ANY OF IHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE �a■ POLICY PROVISIONS. — Monroe county BOCC AUTHORIZED REPRESENTATIVE 1111 12th St., suite 408 Key West FL 33040 USA ea4G�9a c����6G7E( c-f IOL�� ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks ofACORD AGENCY CUSTOMER ID: 570000037575 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Sarnova, Inc. , Bound Tree Medical , LLC POLICY NUMBER See Certificate Number: 570096829779 CARRIER I NAIC CODE See Certificate Number: 570096829779 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL SUBR POLICYNtiNIBER LLIIITS EFFECTIVE EXPIRATION LTR TYPE OF LNStiRANCE INSD WVD DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) OTHER A Products Liab N220H380021 12/01/2022 12/01/2023 Per occ $50,000 claims Made Deductible ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000037575 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Northeast, Inc. Sarnova, Inc. , Bound Tree Medical , LLC POLICY NUMBER See Certificate Number: 570096829779 CARRIER NAIC CODE see Certificate Number: 570096829779 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Named Insured Includes 1. 5arnova, Inc. FEIN: 262386055 2. Bound Tree Medical Products, Inc. FEIN: 731646550 3. Tri-Anim Health services, Inc. FEIN: 952959155 4. Bound Tree Medical , LLC FEIN: 311739487 5. 5arnova HC LLC FEIN: 262549813 6. Emergency Medical Products Inc. FEIN: 391164909 7. Cardlovascular Concepts, Inc. FEIN: 751835412 ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD DATF(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 t/0/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE T AFFIRMATIVELY NEGATIVELY AMEND, ALTERT COVERAGE AFFORDED Y POLICIES BELOW. I CERTIFICATE F INSURANCE ES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINGINSURER(S), AUTHORIZED REPRESENTATIVE O PRODUCER,AND E 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 not confer rights tote certificate holder in lieu of such ender rrlent(s). _PRODUCER CONTACT 13 Ann Risk Services l4or°thea.stµ Inc. _. .. Columbus (m Office AD. Eacky f3trD 2iW1-y1�2 �° Qfi�DC"1 ��� 01.D4 445 WWultchi nson Avenue E-MAIL suite ¢M ADDRESS: Columbus om 4323!S USA INSURER(S)AFFORDING COVERAGE NA➢G 0 INSURED INSURER A: Hartford Fire Insurance Co. 19682 sarno'wa, Inc., Round Tree medical, LI.0 INSURER B: Hartford casualty :Insurance Co, 29424 5000 Tuttle Crossing USA IIW'Iroed. INSURER Noetic Specialty Insurance Co 17400 Dubl°In 4.3a:i6 a Ir � INSURER D: I URER E: lw�uRERm'� COVERAGES CERTIFICATE NUMBER:570090448076 REVISION DUMBER: 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'NM°Ifl"H 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,13UCEI POLICIES.LIMITS SHOW 14 MAY HAVE BEEN REDUCED BY PAID CLAIMS" Limits shown are as foruestad LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMADDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY UUNVG EACH OCCURRENCE $5.,000,000 CLAIMS-MADE .®UR fT EN _ - $300,000 ppr aced Risk nageme It ith tt tlments PRE RISES dd a moaerren BLED EXF(Any one pemon) $10,aQa PERSONAL SADY NJUIRY $1,000,000 ¢� I �I CEN_E.R_A..._L..A....C..�G_F&_C� iW.E.._._..__._ $_2_.,..0 .....0 ._._0 ._.,._ aaa PLw.r;y c PR0I:%,ICrro CCUPIOPAGO EXcluded JECrGENL AGGREGATE LIMIT APPLIES PER: 1 ®19- 021 •... HER: A AUTOMOBILE LIABILITY Y 3 GEN FH4745 12101.12021 12/01/2022 . COMBINED SINGLE.LINUT $1„000,000 y( ANY AUTO UEL10ILy Wd'+LaUll'Vyf Pep'U' irvp .__..� OWNEDSCWiEDULE:D BODILY KILI UY(IlW ro>tly ddentl _ 0 " FA'r15 AkW4 IN �W NE0�AJrO CKI:Y PROPERTY DAMAGE C*R V AUTOS ONLY •,(Y'er ecoidrtru � .� a P� ® X UMBRELLA rW O(X.APR 3-RFWt9Vt;3.�92 .2 2. A 7.. EACH OU'.'•CURPBEIekCE $la,as ,aaa EXCESS LIAB LAWS-MADE AGGREGArE $10,000,000 _ RFTI IdTIdN tXD,,61IlCd .. .-.._.. _.�__.......a.....w_________ WORKERS COMPENSATION AND _..PER STATUTE raTH- EMPLOYERS'LIABILITY YIN �-' ANY PROPMETOR/PARTNER/EXECUTIVE. IE I_EACH AOCIDE:N'r ..... 0FRCENMEMBER EXCLUDED? N/A ..... ___.__._........... .......__�___...__._. (Mandatory In MR) E.L DISEASE EA EMPLOYEE:- . It yyes,desedbs under DE.SCFIIPTUN OF OPERATIONS below E.L.DISEASE POLICY LOAM c Products L.iais IN21OH380025 17/01./2021 12/01/2022 Aggregate Limit $1.01000,000 Claims made Agg Deductible $150,000 11:w OCC L°fldt $10,000,000 DESCRIPTION EHICLES CORD e,any be aftechod If pace Is y y policies. seas Attach Addendum for (Named Insured 1 RE: Account®F No 1047 r4 Munroevtount (ro c`Bois Included as�Additional Insured o n�accordance with the policy pr°ovis°iorus of� tha IV General Liability and AwutoPWtvbv"lsr Lia�iiit 1',ncludes,. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISW Monroe County If$OS C AUTHORIZED REPRESENTATIVE 1.111. :1.2t;h St, suite 408 Key West FL 33040 USA � 11 -2015 ACORD CORPORATION.All rights reserved. C (2016/03) The ACORD name and logo are registered marks of ACORD . AGENCY CUSTOMER ID. 570000037575 LOO : ADDITIONAL REMARKS SCHEDULE Ao�rac� NAMEa INSURED Aon �SIe selviOes Northeast, Inc. sa move , Inc., Bound Tree medical, LLC PMJCY NUMBER see certificate Number. 570090448076 a:ARRIER see certificate NLIMbeIr, 570090448076 LlFl`a'.a:nlVEDAnE. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO AOORD FORM, FOR NUMBER: ACORD 25 F T LE: Cel41tloate of Liability kisura nce INSURER(S)AFFORDING COVERAGE INSURER INSURER INSURER INSURER , PO KIPS If a policy Wow does not i nDlaide finlit infon"nanaxition,refer to the con'mponding policy on the ACORD certificate 6"onn.for poky limits. POLICY POLICY INSH ADDL SC.JBR POLICY NUMBER EFrECTTV9 EXIMATION LLJAWTS' UTR TYPE Off?INSURANCE IN.SO WVD 49A7CP: DATE, (MM/DDIYYYY) (MMA;)DNYYY) OTHER c Products Jab N21OH380025 1.210112021 12/01/2022 Per face: $50,000 Claims made Deductible J ACORD 101( 1) 02 ACODD CORPORATION,All rights re TM ORD name and logo am registered marks of ACORD AGENCY CUSTOMER ID: 5700070037575 M 00 ADDITIONAL REMARKS SCHEDULE Page of !AGENCY NAMEWNSURED Aon Risk services Northeast, Inc.. saw°nova„ Inc., iaoaund Tree medical, n...N...0 POLICY NU SER see Certificate Number: 570090448076 CARRIER NA.IC CODE see certificate ber: 57009044 076 ErFECPIWE rDA"rr.: ADDITIONAL REMARKS IS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: AOORD 25 FORM TITLE: Certificate of Liability Insurance Named :[insured includes 1. sarnova, Inca FEIN: 262386055 2. Bound Tree medical Products, anew VEIN: 731646550 3. Tri-Aniruu Health services, Inc, FEIN: 952959155 4. Bound Tree medical, LLC FEIN:: 311739487 5. sarnova HC LLC FEIN: 262549 13 6. timer encyo medical Products Inc. FEIN,. 3911.64909 7, Card ovascular Concepts, Inc. FEIN:: 751, 35412 ACOR0101( 01) W 2WO ACORN CGRPORATIOM All rights reserved. The ACORD name and Ingo are registered snarls of ACORD