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Client#: 1736379 15AMERITRA6 <br />DATE (MMID D/YYYY) <br />ACORDr11 CERTIFICATE OF LIABILITY INSURANCE 3/15/2024 <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 />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 any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER NAME: SC Certificate Team <br />McGriff Insurance Services LLC PHONE g64 297-4444 FAX <br />A/C, No, : WC, No : Ext <br />47 Airpark Court (29607) E-MAIL ADDRESS: SCcertificates meg riff.com <br />P.O. Box 27149 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Greenville, SC 29616-2149 INSURER A • Ironshore Specialty Insurance Company 25445 <br />INSURED <br />American TransMed, Inc. <br />Post Office Box 2101 <br />Gaffney, SC 29342 <br />INSURER B : Starstone Specialty Insurance Company 44776 <br />INSURER C : Berkley Casualty Company 15911 <br />INSURER D : Continental Western Insurance Co 10804 <br />INSURER E : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONTRACTOR 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 7 OCCUR <br />BI/PD Ded:10000 <br />HC7CACR47P001 <br />05/01/2023 <br />05/01/2024 <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMISES Ea occurrence <br />$50,000 <br />X <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO <br />JECTLOC X POLICY PRO- <br />OTHER: <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />PRODUCTS - COMP/OP AGG <br />$0 <br />$ <br />D <br />AUTOMOBILE <br />X <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />CNA429376348 <br />05/01/2023 <br />05/01/202 <br />CM <br />EaaccideDnt)SINGLELIMIT <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />E77193232AHL <br />05/01/2023 <br />05/01/2024 <br />EACH OCCURRENCE <br />$2000000 <br />AGGREGATE <br />s2,000,000 <br />DED X RETENTION $O <br />$ <br />`+ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N <br />OFFICERIMEMBER EXCLUDED? F7Y <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />KEY0137493 <br />08/01/2023 <br />08/01/2024 <br />X PTAT TE ERH <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />A <br />Professional Liab <br />Abuse/Molestation <br />HC7CACR47P001 <br />HC7CACR47P001 <br />05/01/2023 <br />05/01/2023 <br />05/01/2024 <br />05/01/202 <br />$1,000,000 Per Claim <br />$3,000,000 Aggregate <br />$1,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />*Roger Shiflett and Greg Kirby are excluded from Workers Compensation coverage. <br />%,r_K 1 IYII.A 1 C 1'1ULUMM <br />Cabarrus Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />P O Box 707 ACCORDANCE WITH THE POLICY PROVISIONS. <br />Concord, NC 28026-0707 <br />AUTHORIZED REPRESENTATIVE <br />Ili , <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S33966363/M32688635 JL1 <br />Page104 <br />