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11/05/2025 <br />Marsh Affinity <br />a division of Marsh USA LLC. <br />PO BOX 14404 <br />Des Moines, IA 50306-9686 <br />Marsh Affinity <br />800-743-8130 <br />ADPTotalSource@marsh.com <br />New Hampshire Insurance Co.23841 <br />A N 07/01/2025 07/01/2026 <br />2,000,000 <br />2,000,000 <br />2,000,000 <br />ADP TotalSource FL XVI, Inc. <br />5800 Windward Parkway <br />Alpharetta, GA 30005 <br />L/C/F: <br />El Centro Hispano Inc. <br />2000 CHAPEL HILL RD. #26A <br />Durham, NC 277070000 <br />WC 063557307 NC <br />All worksite employees working for El Centro Hispano Inc. paid under ADP TOTALSOURCE, INC.'s <br />payroll, are covered under the above stated policy. Proprietor/Partner/Executive Officer/Member are <br />not excluded as long as they are in the ADPTS payroll or have completed the SEI Participation <br />Addendum. <br />Orange County Health Department <br />300 W Tryon St <br />Hillsborough, NC 27278 <br />X <br />Docusign Envelope ID: 02ADDA30-D586-4C3A-B884-377593AD73F9