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ACORD® CERTIFICATE OF LIABILITY INSURANCE I DA TE ( MMIDDIYYYY) � 04/14/2023 THIS CERllFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERllFICATE DOES NOT AFFIRMAllVELY 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 REPRESENTAllVE OR PRODUCER, AND THE CERllFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (ies) must 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 no t confer rights to the certificate holder in lieu of suc h endorsement(s). PRODUCER Capital Insurance & Financial Services, Inc. 3701 Lake Boone Trail Suite 200 Raleigh NC 27607 INSURED Medisolutions Inc 1146 N Church St BURLINGTON NC 27217 COVERAGES CERTIFICATE NUMBER: ��CT Angie Cox iA�gN�o Ext!: 919-571 -0685 ��C:�ss: acox@capital-ins.com INSURER(S) AFFORDING COVERAGE INSURER A: Philadelphia Insurance Company INSURER B: INSURER C: INSURER □: INSURER E: INSURER F: I FA X IAIC N ol: REVISION NUMBER: (919)571-0684 NAIC# 000000 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 RESP ECT 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 LTR A TYPE OF INSURAN CE GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY -� CLAIMS-MADE [X] OCCUR - -GEN'L AGGREGATE LIMIT APPLIES PER xl n PRO-POLICY JECT AU TOMOBILE LIABILITY -ANY AUTO -ALL OINNED -AUTOS - nLOC SCHEDULED AUTOS NON-0\fwt,IED HIRED AUTOS AUTOS -- UMBRELLA LIAB H OCCUR -EXCESS LIAB CLAIMS-MADE OED I I RETENTION$ WORKERS COMPENSATIO N AND EMPLOYERS' LIABILITY YIN ANY PRO PRI ETOR/PARTN ER/EXECUTI \IE □ 0 FFI CERIM EM BER EXCLU OED? (Mandatory in N H) If yes, describe under DESCRIPTION OF OPERATIONS below Professional Liability ADDL SUBR POLI CY EFF POLI CY EXP INJ::J;i: wvn POLICY NUMBER IM MIDDIYYYYI IM MIDDIYYYYI N N PH PK2332932 11/20/2022 11/20/2023 NIA N N PH PK2332932 11/20/2022 11/20/2023 DESCRIPTION OF OPERA TIO NS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is re qui red) Physical Abuse/Sexual Misconduct -$1,000,000 each claim CERTIFICATE HOLDER CANCELLATION LIMITS EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED 1000000 PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 10000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 PRODUCTS -COMP/OP AGG $ 2000000 $ COMBINED SINGLE LIMIT $ (Ea accdenll BO DI LY INJURY (Per person) $ BODILY INJURY (Per accdenl) $ PROPERTY DAMAGE (Per accident) $ $ EACH OCCURRENCE $ AGGREGATE $ $ x I IM',STATU-1 TORY LIMITS IOTH-ER E.L EACH ACCIDENT $ E.L DISEASE -EA EMPLOYEE $ E.L DISEASE -POLICY LIMIT $ 1,000,000 each occurrence 2,000,000 aggregate SHOULD ANY OF lHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE lHE EXPIRA11ON DATE lHEREOF, NO11CE WILL BE DELIVERED IN ACCORDANCE WllH lHE POLICY PROVISIONS. Orange County, its officers, agents and employees are to be designated as “additional insured” Orange County NC 300 West Tyron Street P.O.Box 8181 Hillsborough NC 27278 AUTHORIZED REPRESEN TATIVE _c.4�.:.... C-,e I ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Orange County, its officers, agents and employees are to be designated as “additional insured” DocuSign Envelope ID: 8622792D-E414-4E66-9FB7-F34BBC7E42F5