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DocuSign Envelope ID: Al E64657- B4BC- 4CBD- BBDE- 98475BE11255
<br />---"—a%
<br />JOBRE -1 OP ID: SI
<br />�1 CERTIFICATE OF LIABILITY INSURANCE
<br />° 1
<br />101131!231/20114 4
<br />THI3 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 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
<br />Dupree & Webb, Inc.
<br />PO Box 6522
<br />Raleigh, NC 27628 -6522
<br />Adrian B. Band
<br />CONTACT DUPREE S WEBB INC
<br />PHONE FAX
<br />919 -828 -3241 Noll: 919- 821 -3911
<br />ADDRESS:
<br />INSU S AFFORDING COVERAGE
<br />NAIC II
<br />INSURERA:Hartford Casualty Insurance Co
<br />29424
<br />$ 1,000,00
<br />INSURED JOB READY SERVICES, LLC
<br />INSURER B: Hartford Ins. Co. of Midwest
<br />37478
<br />2300 WESTINGHOUSE BLVD # 107
<br />RALEIGH, INC 27604
<br />INSURER C: Evanston Insurance Company
<br />S 1,000,00
<br />GENERAL AGGREGATE
<br />INSURER D:
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY PRO LOC
<br />INSURER E:
<br />$ 2,000,00
<br />INSU F :
<br />A
<br />AUTOMOBILE LIABILITY
<br />ANYAUTD
<br />ALL OWNED SCHEDULED
<br />AUTOS X
<br />NON-OWNED
<br />HIRED gUTO$ AUTO $
<br />CAVEF AGEA CFRTIFICATF NUMRFR-- REVISION NUMBER: 002
<br />THIS 18 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 />LS
<br />TYPE OF INSURANCE
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />POLICY NUMBER
<br />MMloD11YYW
<br />M DIYYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE a OCCUR
<br />HILLSBOROUGH, NC 27278
<br />225BAIF7783
<br />03/0112014
<br />0310112015
<br />EACH OCCURRENCE
<br />$ 1,000,00
<br />TO RENTEff__
<br />PREMISES Ea occurrence
<br />s 300,00
<br />MED EXP (Any one person)
<br />$ 10,00
<br />PERSONAL &ADV INJURY
<br />S 1,000,00
<br />GENERAL AGGREGATE
<br />$ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY PRO LOC
<br />PRODUCTS - COMPIOP AGG
<br />$ 2,000,00
<br />$
<br />A
<br />AUTOMOBILE LIABILITY
<br />ANYAUTD
<br />ALL OWNED SCHEDULED
<br />AUTOS X
<br />NON-OWNED
<br />HIRED gUTO$ AUTO $
<br />22SBAIFT783
<br />03/01/2014
<br />03/01/2015
<br />Es axid.r") SINGLE LIMIT
<br />$ 1,000,00
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />ACCIDENT)
<br />PER�X
<br />$
<br />S
<br />A
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LLA13
<br />X
<br />OCCUR
<br />CLAJMS_MADE
<br />22SBAIF7783
<br />0310112014
<br />03!0112015
<br />EACH OCCURRENCE
<br />3 2,000,00
<br />AGGREGATE
<br />$ 2,000,00
<br />X
<br />DED RETENTION $ 10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORMARTNERIEXECUTIVE Yl�N
<br />OFFICERIMEMBEREXCLUDED? N
<br />(Mandatory In NH)
<br />Ha dearsibe under
<br />DESCRIPTION OF OPERATION$ below
<br />NIA
<br />22WBCE03770
<br />03101120114
<br />0310112015
<br />X WC STATU- I OTH-
<br />TORY LI MITS
<br />E.L. EACH ACCIDENT
<br />$ 500,00
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 500,00
<br />E.L. DISEASE -POLICY LIMIT
<br />S 500100
<br />C
<br />PROFESSIONAL LIAR
<br />SM899038
<br />03/0112014
<br />03101!2015
<br />PER CLAIM 1,000,00
<br />AGGREGATE 3,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required)
<br />SEE FORM SS 08 04 45, PAGES 11 -14, ITEM 6. FOR GENERAL LIABILITY ADDITIONAL
<br />INSURED PROVISIONS.
<br />I%mn -ri •rHATC Lr/11 rICD CAhICRI I ATin NI
<br />ORANG -1
<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 />ORANGE COUNTY
<br />POST OFFICE BOX 8181
<br />E
<br />AUTHORIZED dria IiEP Bond
<br />Adrian B. Bond
<br />HILLSBOROUGH, NC 27278
<br />ACORD 26 (2010106)
<br />01888 -2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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