2024-001-01_COI_CTR063833_MMCAP_MMS2200733_Diamond_Drugs.pdf

H o ld e r Id e n ti fi e r

77777

77707 07070

00777 63616

06555 33307

72407 55522

74576 07742

03777 24143

32073 64057

53661 01320

73404 11312

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73104 30130

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25202 57731

10777 77770

70007 07007

66666

66606 06060

00626 06466

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62002 06262

04022 00622

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06222 04422

04620 42060

22264 20266

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06224 06644

40666 66660

60006 06006

C e rt if ic a te N o

CERTIFICATE OF LIABILITY INSURANCE

DATE(MM/DD/YYYY)

10/03/2023

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).

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.

PRODUCER

Aon Risk Services Central, Inc.

Pittsburgh PA Office EQT Plaza ~ Suite 2700 625 Liberty Avenue Pittsburgh PA 15222-3110 USA

PHONE

(A/C. No. Ext):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

(866) 283-7122

INSURED 41483Farmington Casualty CompanyINSURER A:

31194Travelers Casualty&Surety Co of AmericaINSURER B:

25623The Phoenix Insurance CompanyINSURER C:

20443Continental Casualty CompanyINSURER D:

31127Columbia Casualty CompanyINSURER E:

INSURER F:

FAX

(A/C. No.):

(800) 363-0105

CONTACT

NAME:

Diamond Drugs, Inc dba Remedy Repack 645 Kolter Drive Indiana PA 15701 USA

COVERAGES CERTIFICATE NUMBER: 570102075686 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

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

(MM/DD/YYYY)

SUBR

WVD

INSR

LTR

ADDL

INSD POLICY NUMBER TYPE OF INSURANCE LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

POLICY LOC

EACH OCCURRENCE

DAMAGE TO RENTED

PREMISES (Ea occurrence)

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

X

X

X

GEN'L AGGREGATE LIMIT APPLIES PER:

$1,000,000

$50,000

$5,000

$1,000,000

$3,000,000

$3,000,000

E 09/19/2023 09/19/2024HMA2087520412

PRO-

JECT

OTHER:

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

SCHEDULED

AUTOS

HIRED AUTOS

ONLY

NON-OWNED

AUTOS ONLY

BODILY INJURY ( Per person)

PROPERTY DAMAGE

(Per accident)

X

BODILY INJURY (Per accident)

$1,000,000C 09/19/2023 09/19/2024 COMBINED SINGLE LIMIT

(Ea accident) 810-0S606143-23-14-G

EXCESS LIAB X

OCCUR

CLAIMS-MADE AGGREGATE

EACH OCCURRENCE

DED

$1,000,000

$1,000,000

09/19/2023

UMBRELLA LIAB

E 09/19/2024HMC2087520426

RETENTION

X

E.L. DISEASE-EA EMPLOYEE

E.L. DISEASE-POLICY LIMIT

E.L. EACH ACCIDENT $1,000,000

X OTH-

ER

PER STATUTEA 01/01/2023 01/01/2024

SIR applies per policy terms & conditions

$1,000,000

Y / N

(Mandatory in NH)

ANY PROPRIETOR / PARTNER / EXECUTIVE

OFFICER/MEMBER EXCLUDED? N / AN

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY

If yes, describe under DESCRIPTION OF OPERATIONS below

$1,000,000

UB1T64848A2314G

Each ClaimHMA2087520412 09/19/2023 09/19/2024 PL is Claims Made $3,000,000Aggregate

E&O - Professional Liability

- Primary

E $1,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Named Insured includes d/b/a Diamond Pharmacy Services, with the exception of the Auto policy. The Minnesota Multistate Contracting Alliance for Pharmacy (MMCAP) is named Additional Insured on the above-referenced General Liability coverage.

CANCELLATIONCERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVEMMCAP Infuse 50 Sherburne Avenue, Suite 112 Saint Paul MN 55155 USA

ACORD 25 (2016/03)

©1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE

EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE

POLICY PROVISIONS.