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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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):

E-MAIL

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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