2015-386-E DSS - CNC/Access, Inc. dba ResCare HomeCare to provide employees to perform in-home services for OC DSS clients $415,647

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DocuSign Envelope ID:89919lD6-FE7F-44C7-A260-05472B80BB67 DATE(MMIDDIYYYY) ACS o CERTIFICATE OF LIABILITY INSURANCE 7/112015 6/18/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER LOGKTON COMPANIES CONTACT _ XA 2100 ROSS AVENUE,SUITE 1400 PHONE FAX AIC No): DALLAS TX 75201 E-MAIL 214-969-6700 ADDRESS: INSURERS AFFORDING COVERAGE NAIL N INSURER A:ACE American Insurance nl all 22667 INSURED Res-Care,Inc,and all its subsidiaries INSURER B 1366592 9901 Linn Station Road INSURER :See Attached Louisville KY 40223 INSURER D:Great American Insurance Company 16691 INSURER E: INSURER F COVERAGES RESCA01 CERTIFICATE NUMBER: 12356659 REVISION NUMBER: xxxxxxx THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUBR POLICY EFF POLICY F-XP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMMDIYYYY MMIDD A X COMMERCIAL GENERAL LIABILITY N N XSL 627334581 7/1/2014 7/1/2015 R DAMAGE TO RENTED A CLAIMS-MADE ❑OCCUR (CLAINIS MADE) PREMISES(Ea occurrence) $ 300,000 X Prof.Liability MED EXP An one erson PERSONAL&ADV INJURY $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ .7PRO FGT F-1 LOC PRODUCTS•COMPIOP AGG s 4-000-000 OTHER: $ A AUTOMOBILE LIABILITY N N ISA H08821252 7.11/2014 7/1/2615 (Ea accident) $ 2.9 0,000 ANY AUTO BODILY INJURY(Per person) $ xxxxxxx ALL OWNED SCHEDULED BODILY INJURY IPer accidentl S r r AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ xXXXXXX X HIRED AUTOS X AUTOS $ xxxxxxx B UMBRELLA LIAR }{ OCCUR N N IRFA005548-06 7/1/2014 7/1/2015 EACH OCCURRENCE $ 31000,000 g EXCESS LIAB CLAIMS-MADE (AUTO&EL ONLY) AGGREGATE $ DEp I I RETENTION$ $ xxxxxxx WORKERS COMPENSATION N SEE ATTACHED ]( STATUTE ER C AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE YIN N!A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 2,000,000 If s,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Crime N N SAA 052-11-97-00 7/1/2014 7/1/2015 Employee Theft-55,000,000 per Occ. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 161,Additional Remarks Schedule,may be attached if more space is required) Retra Date for Policy#XSL G27334581 is 7/1/01. CERTIFICATE HOLDER CANCELLATION See Attachment 12356659 *FOR INFORMATION ONLY* SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD