Henry_Schein_Inc_COI_expires_12.01.2025.pdf
PDF 74 KB Posted
- Attached to
- Master Agreement AZ|CTR077432
- Contract number
- CTR077432
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for Henry Schein, Inc. and its numerous subsidiaries and affiliates, issued by Aon Risk Services Northeast, Inc. The certificate involves multiple insurers, including Berkshire Hathaway Specialty Insurance Company, QBE Specialty Insurance Company, and others. The certificate specifically notes additional insured parties such as the Minnesota Multistate Contracting Alliance for Pharmacy (MMCAP), the State of Oregon, and the State of Tennessee.
The insurance coverage includes comprehensive policies spanning commercial general liability, automobile liability, umbrella liability, workers' compensation, and additional professional liability coverage. The policies are effective from 06/01/2025 to 06/01/2026, with various coverage limits, including a $1,000,000 each occurrence limit for general liability, a $3,000,000 combined single limit for automobile liability, and a $10,000,000 limit for errors and omissions/cyber liability. The certificate indicates that the general liability and products liability policies are primary and non-contributory, with additional insured status granted to the mentioned state entities as required by written agreement.
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| File | Type | Posted |
|---|---|---|
| MMS2401077_Henry_Schein_CTR077432.pdf | ||
| MPA_-_AZ___HSI.pdf |
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Text version
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 55712 67471 00756 24317 76276 55407 76265 37100 34530 07362 21777 04761 30075 20413 77247 41100 77727 25202 57731 10777 77770 70007 07007
66666 66606 06060 00626 06466 20444 62006 22202 40400 42020 06220 20426 20620 00062 02004 26204 00200 62200 26242 26200 20622 00060 40062 02006 02200 62622 40020 06022 04420 06622 62060 22266 00244 02620 66646 06224 06644 40666 66660 60006 06006
C e rt if ic a te
N o
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
05/28/2025
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 Northeast, Inc.
New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA
PHONE
(A/C. No. Ext):
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 22276Berkshire Hathaway Specialty Ins CompanyINSURER A:
11515QBE Specialty Insurance CompanyINSURER B:
17400ProAssurance Specialty Insurance CompanyINSURER C:
42404Liberty Insurance CorporationINSURER D:
23035Liberty Mutual Fire Ins CoINSURER E:
INSURER F:
FAX
(A/C. No.):
(800) 363-0105
CONTACT
NAME:
Henry Schein, Inc., Subsidiaries & Affiliates 135 Duryea Road Melville NY 11747 USA
COVERAGES CERTIFICATE NUMBER: 570112804138 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
$100,000
$5,000
$1,000,000
$5,000,000
Excluded
E 06/01/2025 06/01/2026TB2621093363035
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)
$3,000,000E 06/01/2025 06/01/2026 COMBINED SINGLE LIMIT
(Ea accident)
AS2-621-093363-045
EXCESS LIAB
X OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
$4,000,000
$4,000,000
06/01/2025UMBRELLA LIABD 06/01/2026TH7621093363075
RETENTION
X
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $1,000,000
X OTH-
ER
PER STATUTED 06/01/2025 06/01/2026
AOS
WC7621093363025D 06/01/2025 06/01/2026
$1,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / AN
WI
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
$1,000,000
WA762D093363015
Each OccurrenceN25NY380022 06/01/2025 06/01/2026 Claims Made $5,000,000Aggregate
Products LiabilityC $5,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Minnesota Multistate Contracting Alliance for Pharmacy (MMCAP), State of Oregon and The State of Tennessee are included as Additional Insured as required by written agreement, but limited to the operations of the Insured under said agreement with respect to the General Liability and Products Liability policies. General Liability and Products Liability policies evidenced herein are Primary and Non-Contributory to other insurance available to the Additional Insured, but only to the extent required by written contract with the Insured.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVEMMCAP Infuse 50 Sherburne Avenue, Suite 112 St. 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.
AGENCY CUSTOMER ID:
ADDITIONAL REMARKS SCHEDULE
LOC #:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
EFFECTIVE DATE:
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSUREDAGENCY
See Certificate Number:
See Certificate Number:
570112804138
570112804138
Aon Risk Services Northeast, Inc.
570000025511
ADDITIONAL POLICIES
If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.
INSURER
INSURER
INSURER
INSURER
INSURER(S) AFFORDING COVERAGE
Page _ of _
NAIC #
Henry Schein, Inc., TYPE OF INSURANCE
POLICY NUMBER LIMITS
OTHER
B E&O - Miscellaneous Professional-Primary
130003732 12/01/2024 12/01/2025 Limit of Liability
$10,000,000 Cyber Liab/Tech& E&O
ADDL
INSD
INSR
LTR
SUBR
WVD
POLICY
EFFECTIVE
DATE
(MM/DD/YYYY)
POLICY
EXPIRATION
DATE
(MM/DD/YYYY)
SIR applies per policy terms & conditions
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Named Insureds
AGENCY CUSTOMER ID:
ADDITIONAL REMARKS SCHEDULE
LOC #:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
EFFECTIVE DATE:
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSUREDAGENCY
See Certificate Number:
See Certificate Number:
Aon Risk Services Northeast, Inc.
570000025511
570112804138
570112804138
Page _ of _
Henry Schein, Inc., Ace Southern Surgical Solutions Ace Surgical Supply Company, Inc.
AEP MPE Holdings, LLC All Star Orthodontics
BIOHORIZONS IMPLANT SYSTEMS, INC.
Camlog CB Healthcare Consulting GmbH Cleanpac Inc DenMat Holdings, LLC Dental Instrument Sales & Service, LLC Dental Practice Transitions Dentrix Dental Systems eAssist Inc.
eAssist Publishing LLC Edge Endo Exan Enterprises Firefly Supply LLC G.I.V. Inc.
General Injectibles & Vaccines, Inc.
Hand Piece Parts & Repair, Inc.
Hayes Handpiece Franchises, Inc.
HealthFirst Henry Schein, Inc Henry Schein and Schvadent Henry Schein Dental, Inc.
Henry Schein Global Sourcing, Inc.
Henry Schein Medical Henry Schein One, LLC Henry Schein Practice Solutions Henry Schein Services GmbH Henry Schein, Supply HF Acquisition Co. LLC HSG-S Corp Impromed, LLC.
Insource, Inc.
Lighthouse 360, Inc.
Midway Dental Supply LLC NAR Medical Depot LLC NAR Training LLC North American Rescue LLC and TQM, LLC
ORTHO2 LLC
Ortho Organizers, Inc.
Ortho Technology, Inc.
Precision One Medical Inc.
Prism Medical Products
RXWORKS, INC.
Sesame Communications Southern Anesthesia & Surgical Inc.
Shield HealthCare TDSC, Inc.
The Custom Milling Center, Inc.
US Endodontics Vulcan Custom Dental Zahn Dental Company, Inc.
Zahn/Darby Lab
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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