Orange County NC Website
CERTIFICATE OF LIABILITY INSURANCE 7/1/2014 DA TE 12/4/2013 <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(iss)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER LOCKTON COMPANIES,LLC-N DALLAS CONTACT <br /> 2100 ROSS AVENUE,SUITE 1400 a"rc8Nlvo Ext: FA <br /> DALLAS TX 75201 E-MAIL <br /> 214-969-6700 <br /> INSURERA, ACE Am rican Insurance 2 <br /> INSURED ResCare,Inc.and all scheduled subsidiaries INSURER B: First Specialty Insurance Corporation <br /> 1068789 9901 Linn Station Road INSURER C: See Attached <br /> Louisville KY 40223 <br /> INSURER D <br /> TI M VI 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 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 /> INSR A <br /> LT.B TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> SR wvn• GENERAL LIABILITY N N XSL G2701995A 7/1/2013 7/1/2014 EACH OCCURRENCE 4,000,000 <br /> • X COMMERCIAL GENERAL LIABILITY (CLAIMS MADE) DAMAGE TO RENTED 300,000 <br /> X CLAIMS-MADE❑OCCUR MED EXP(Any one Person) XXXXXXX <br /> X Prof.Liability PERSONAL BADV INJURY $ 4,000,000 <br /> NERALAGGREGATE $ 6,000,000 <br /> 'L AGGR A E LIMIT PP S PER: RODUC7S-COMP/OP AGG $ 4,000,000 <br /> X PRO- $ <br /> • AUTOMOBILE LIABILITY N N ISA H08719470 7/1/2013 7/1/2014 OMBINEeD SINGLE LIMIT 2,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> AUTOS NED SCHEDULED ODILY INJURY(Per accident$ XXXXXXX <br /> X HIRED AUTOS X NON-AWNED PROPERTY DAMAGE $ XXXXXXX denn <br /> x UM/UIM 500 Med 35,000 $ XXXXXXX <br /> B UMBRELLA LIAB X CUR N N IRE0005548-05 7/1/2013 7/1/2014 EACH OCCURRENCE $ 3.000000 <br /> B EXCESS LIAB LAIMS-MADE (AUTO BL EL ONLY GGREGATE $ XXXXXXX <br /> DEED) RETENTION$ is XXXXXXX <br /> WORKERS COMPENSATION WC STATU- TH- <br /> C AND EMPLOYERS'LIABILITY N SEE ATTACHED X <br /> ANV PROPRIETOR/PARTNER/EXECUTIVE s 2.000.000 <br /> -Yzbl PR <br /> OFFICER/MEMBER EXCLUDED? N N/A L.EACH ACCIDENT <br /> tMandaaory In NH) L.DISEASE-EA EMPLOYEE 2,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below 2.000.000 <br /> ASP <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Auto Liability:North Carolina requires limits for Bodily Injury and Property Damage to be at a Minimum of$500,000 BI or PD.This client's coverage is <br /> a Combined Single limit which covers BI and PD if Broken out the separate limits would be more than the minimum required by the state of North Carolina. <br /> Retro Date for Policy#XSL G2701995A is 7/1/0(.CNC/Access,Inc dba ResCare HomeCare a subsidiary of ResCare,Inc. <br /> CERTIFICATE HOLDER CANCELLATION See Attachment <br /> 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 /> 12696764 AUTHORIZED REPRESENTATIVE <br /> Orange County <br /> 113 Mayo St. <br /> Hillsborough NC 27278 <br /> ACORD 25(2010/05) 01988-2010 ACORD CORPORATION.All rights reserved <br /> The ACORD name and logo are registered marks of ACORD <br />