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Named Insureds <br />AGENCY CUSTOMER ID: <br />ADDITIONAL REMARKS SCHEDULE <br />LOC #: <br /> ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance <br />EFFECTIVE DATE: <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSUREDAGENCY <br />See Certificate Number: <br />See Certificate Number: <br />Aon Risk Services Northeast, Inc. <br />570000025511 <br />570112804258 <br />570112804258 <br />Page _ of _ <br />Henry Schein, Inc., <br />Ace Southern Surgical Solutions <br />Ace Surgical Supply Company, Inc. <br />AEP MPE Holdings, LLC <br />All Star Orthodontics <br />BIOHORIZONS IMPLANT SYSTEMS, INC. <br />Camlog <br />CB Healthcare Consulting GmbH <br />Cleanpac Inc <br />DenMat Holdings, LLC <br />Dental Instrument Sales & Service, LLC <br />Dental Practice Transitions <br />Dentrix Dental Systems <br />eAssist Inc. <br />eAssist Publishing LLC <br />Edge Endo <br />Exan Enterprises <br />Firefly Supply LLC <br />G.I.V. Inc. <br />General Injectibles & Vaccines, Inc. <br />Hand Piece Parts & Repair, Inc. <br />Hayes Handpiece Franchises, Inc. <br />HealthFirst <br />Henry Schein, Inc <br />Henry Schein and Schvadent <br />Henry Schein Dental, Inc. <br />Henry Schein Global Sourcing, Inc. <br />Henry Schein Medical <br />Henry Schein One, LLC <br />Henry Schein Practice Solutions <br />Henry Schein Services GmbH <br />Henry Schein, Supply <br />HF Acquisition Co. LLC <br />HSG-S Corp <br />Impromed, LLC. <br />Insource, Inc. <br />Lighthouse 360, Inc. <br />Midway Dental Supply LLC <br />NAR Medical Depot LLC <br />NAR Training LLC <br />North American Rescue LLC and TQM, LLC <br />ORTHO2 LLC <br />Ortho Organizers, Inc. <br />Ortho Technology, Inc. <br />Precision One Medical Inc. <br />Prism Medical Products <br />RXWORKS, INC. <br />Sesame Communications <br />Southern Anesthesia & Surgical Inc. <br />Shield HealthCare <br />TDSC, Inc. <br />The Custom Milling Center, Inc. <br />US Endodontics <br />Vulcan Custom Dental <br />Zahn Dental Company, Inc. <br />Zahn/Darby Lab <br />ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Docusign Envelope ID: A6A79380-F992-4605-AD65-69E9820B20A1