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Product Liability Requirements Sample Form

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Shared by: Nathan Jameson
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October 16, 2007 To All Suppliers: For the products supplied to us by your firm, please forward to my associate’s attention, as noted below, a current Certificate of Product Liability, indicating the total amount of your Product Liability Coverage. The name and address on the certificate should be stated as follows: CVS CORPORATION One CVS Drive, Vendor #«Vendor_Number» Woonsocket, Rhode Island 02895 ATTN: SHANNON ORTIZ THIS CERTIFICATE MUST SATISFY THE FOLLOWING REQUIREMENTS: • Name insured must be company with whom CVS is doing business (not parent company/broker name). • BODILY INJURY- each occurrence/aggregate. • PROPERTY DAMAGE - each occurrence/aggregate. • CVS requires all vendors to carry a minimum of $5 million per occurrence for general liability coverage. This coverage may be a combination of Primary, plus Excess/Umbrella coverage. • BLANKET VENDORS ENDORSEMENT COVERAGE. • CVS CORPORATION must be named as ADDITIONAL INSURED. • CANCELLATION POLICY SHOULD READ AS FOLLOWS; ‘Should any of the above described policies be canceled before the expiration date thereof, the issuing company will mail thirty (30) days written notice to the named certificate holder”. ALL CORRESPONDENCE AND QUESTIONS MUST BE REFERRED TO SHANNON ORTIZ: FAX NUMBER 401-652-9819 PHONE NUMBER 401-770-2285 Thank you for your prompt attention and response. Very truly yours, Shannon Ortiz Certificate Tracking Coordinator

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