Orange County NC Website
DocuSign Envelope ID:89919lD6-FE7F-44C7-A260-05472B80BB67 <br /> ACO INSURANCE <br /> DATE <br /> CERTIFICATE �F LIABILITY INSU 2 1 <br /> `1 v1/2o16 7161 D 5 <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 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 /> CONTACT <br /> PRODUCER LOCKTON COMPANIES NAME: FAX <br /> 2100 ROSS AVENUE,SUITE 1400 (AJC,No Ext; Arc,No <br /> DALLAS TX 75241 E-MAIL <br /> 214-969-6700 ADDRESS: <br /> INSURE S AFFORDING COVERAGE NAIC N <br /> INSURER A: ACE American Insurance Compariv 22667 <br /> INSURED Res-Care,Inc.and all scheduled subsidiaries INSURER B: First Specialty Insurance Corporation 34916 <br /> 1068789 9901 Linn Station Road INSURER C: See Attached <br /> Louisville KY 40223 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES *RESCAO1P* CERTIFICATE NUMBER: 10908385 REVISION NUMBER: XXXXXXX <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 /> ILTR TYPE OF INSURANCE INSD UBp POLICY NUMBER POLICY EFF MIOfLDICY EXP LIMITS <br /> A Xr COMMERCIAL GENERAL LIABILITY N N XSL 627393846 7/3/2015 7/112016 EACH OCCURRENCE 4,000,000 <br /> A X CLAIMS-MADE❑OCCUR (CLAIMS MADE) DAMAGE TO RENTED <br /> PREMISE Ea occurrence 300,000 <br /> X Prof.Liability MED EXP(Any one person) XXXXXXX <br /> PERSONAL&ADV INJURY $ 4,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 <br /> X POLICY JERCOT LOO PRODUCTS-COMPlOP AGG $ 4,000,000 <br /> OTHER $ <br /> A AUTOMOBILE LIABILITY N N ISA H08857374 WV2015 7/1/2016 Ea aBcldEernitSwGLE LIMIT $ 2,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> ALLL NED SCHEDULED BODILY INJURY(Per accident $ XXXXXXX AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ XXXAXXX <br /> • HIRED AUTOS X AUTOS Per accident <br /> • UM/UIM 500 MI 5,000 $ XXXXXXX <br /> B UMBRELLA LIAB X OCCUR N N IRE0005548-07 7/1/2015 7/1/2016 EACH OCCURRENCE $ 31000,000 <br /> B EXCESS LIAR CLAIMS-MADE (AUTO&EL ONLY) AGGREGATE $ XXXXXXX <br /> DIED I I RETENTION$ <br /> $ XXXXXXX <br /> WORKERS COMPENSATION <br /> C AND EMPLOYERS'LIABILITY YIN N SEE ATTACHED X STATUTE TH- nn LEL <br /> ANY PROPRIETOWPARTNERlEXECUTIVE N!A E.L.EACH ACCIDENT $ 2,000,000 <br /> 000 <br /> OFFIC--EMBER EXCLUDED? <br /> (Mandatory In NHI E.L.DISEASE-EA EMPLOYEE s 2,000,000 2,000,000 <br /> If DESCRIPTION N FOPERA71ONS below E.L.DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED, <br /> Auto Liability North Carolina requires limits for Bodily Injury and Property Damage to be at a Minimum of$500,000 B)or PD.This client's coverage is <br /> a Combined Single limit which covers Bland 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 627393846 is 7/1101.Coverage does not exclude Sexual Abuse/Molestation. <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 /> 1 0908385 AUTHORIZED REPRESENTATIVE <br /> Orange County DSS <br /> 2501 Homestead Road <br /> Chapel Hill NC 27516 <br /> ACORD 25(2014101) ©1988-2014 ACORD CORPORATION.All rights reserved <br /> The ACORD name and logo are registered marks of ACORD <br />