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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />INSURER(S) AFFORDING COVERAGE <br />INSURER F : <br />INSURER E : <br />INSURER D : <br />INSURER C : <br />INSURER B : <br />INSURER A : <br />NAIC # <br />NAME:CONTACT <br />(A/C, No):FAX <br />E-MAILADDRESS: <br />PRODUCER <br />(A/C, No, Ext):PHONE <br />INSURED <br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />OTHER: <br />(Per accident) <br />(Ea accident) <br />$ <br />$ <br />N / A <br />SUBR <br />WVD <br />ADDL <br />INSD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />$ <br />$ <br />$ <br />$PROPERTY DAMAGE <br />BODILY INJURY (Per accident) <br />BODILY INJURY (Per person) <br />COMBINED SINGLE LIMIT <br />AUTOS ONLY <br />AUTOSAUTOS ONLY NON-OWNED <br />SCHEDULEDOWNED <br />ANY AUTO <br />AUTOMOBILE LIABILITY <br />Y / N <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />DESCRIPTION OF OPERATIONS below <br />If yes, describe under <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />$ <br />$ <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. EACH ACCIDENT <br />EROTH-STATUTEPER <br />LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />EXCESS LIAB <br />UMBRELLA LIAB $EACH OCCURRENCE <br />$AGGREGATE <br />$ <br />OCCUR <br />CLAIMS-MADE <br />DED RETENTION $ <br />$PRODUCTS - COMP/OP AGG <br />$GENERAL AGGREGATE <br />$PERSONAL & ADV INJURY <br />$MED EXP (Any one person) <br />$EACH OCCURRENCE <br />DAMAGE TO RENTED $PREMISES (Ea occurrence) <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO-JECT LOC <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />CERTIFICATE HOLDER <br />The ACORD name and logo are registered marks of ACORD <br />HIRED <br />AUTOS ONLY <br />4/5/2024 <br />Graham Company, <br />a Marsh &McLennan Agency,LLC company <br />One Penn Square West <br />Philadelphia PA 19102 <br />SelectMed Unit <br />215-567-6300 215-405-2711 <br />SELECTMED_UNIT@grahamco.com <br />Liberty Mutual Fire Ins.Co.23035 <br />SELEMED-01 Allied World Assurance Company,AGSelectSubsidiaries,Inc. <br />c/o Select Medical Corporation <br />4716 Old Gettysburg Road <br />Mechanicsburg PA 17055 <br />National Fire and Marine Insurance Company 20079 <br />American Guarantee &Liability Ins.Co.26247 <br />LM Insurance Corporation 33600 <br />647816589 <br />C X 10,000,000 <br />X INCLUDED IN SIR <br />X Excess of$2M SIR <br />INCLUDED <br />10,000,000 <br />X <br />Y EN065306 12/31/2023 12/31/2024 <br />INCLUDED <br />A 2,000,000 <br />X <br />AS2-631-509047-034 4/1/2024 4/1/2025 <br />B X 15,000,000 <br />X X <br />C01445/022 12/31/2023 12/31/2024 <br />15,000,000 <br />E <br />E XWA7-63D-509047-013 <br />WC5-631-509047-023 <br />4/1/2024 <br />4/1/2024 <br />4/1/2025 <br />4/1/2025 1,000,000 <br />1,000,000 <br />1,000,000 <br />C <br />D <br />Professional Liability <br />Property EN065306 <br />ZMD5917837-18 <br />12/31/2023 <br />12/31/2023 <br />12/31/2024 <br />12/31/2024 <br />$7M Per Claim/$7M Agg <br />SEE BELOW <br />Excess of $5M SIR <br />PROPERTY COVERAGE:$5,000,000 Limit for Unnamed/Unscheduled Locations;Specified Limits for Scheduled Locations.Coverage is provided on a <br />replacement cost basis. <br />Coverage is provided for all medical professionals currently or previously employed or contracted by the above Named Insured,but only for professional <br />services performed for or on behalf of the above Named Insured. <br />Orange County,its officers,agents and employees are additional insureds on the above General Liability Policy if required by written contract. <br />Orange County <br />300 West Tryon Street <br />P.O.Box 8181 <br />Hillsborough NC 27278 <br />DocuSign Envelope ID: FFA73DD9-C106-407B-89D5-4182E5B591FE