CTR067762_COI_Valid_Thru_1-12-26.pdf

08/22/2025

Brown & Brown Insurance Services, Inc.

901 Marquette Ave Suite 1800 Minneapolis MN 55402

Katie Hedican or Dalton VanBlaricom

(612) 347-8341

Dalton.VanBlaricom@BBrown.com

Safeguard US Holdco, Inc 13359 Reese Blvd E

Huntersville NC 28075

Atlantic Specialty Insurance Company 27154 OBI National Insurance Company 14190 Homeland Insurance Company of New York 34452

25-26

A Y 7110177890003 01/12/2025 01/12/2026

1,000,000 500,000 15,000 1,000,000 2,000,000 Excluded

A 7110177890003 01/12/2025 01/12/2026

1,000,000

A 7110177890003 01/12/2025 01/12/2026 6,000,000 6,000,000

B N 4060484320003 01/12/2025 01/12/2026 1,000,000 1,000,000 1,000,000

C Products/Completed Ops Liability/Prof Liability/Errors & Omissions 8500001460003 01/12/2025 01/12/2026

Each Claim $10,000,000 Aggregate $10,000,000

GSA Contract No.: GS-07F-032CA DPS Contract No.: CTR067762 SAVE II Ventilators and Accessories

Combat Medical Systems, LLC, O.M. PERFORMANCE, Inc. dba PerSysy Medical, EINSTEIN WORKS, LLC, H&H Medical Corporation, Water-Jel Technologies, LLC, Safeguard Medical Holdco, LLC, Safeguard US Holdco Inc and Automedx LLC are additional insured as respects the General liability policy where required by written contract, subject to policy terms and conditions.

Arizona Department of Public Safety 2102 West Encanto Blvd.

P.O. Box 6638 Phoenix AZ 85009

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

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

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

Auto Medx LLC

Combat Medical Systems LLC

Einstein Works LLC

H&H Medical Corporation

O.M. Performance, Inc dba Persys Medical

Safeguard US Operating LLC

Water-Jel Technologies LLC

Additional Named Insured

Additional Named Insured

Additional Named Insured

Additional Named Insured

Additional Named Insured

Additional Named Insured

Additional Named Insured

Additional Named Insureds

Other Named Insureds

OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC