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DocuSign Envelope ID:6E9B5308-6677-4F2E-9268-29D6E1A4FD76 <br /> JOBRE-1 OP ID:SI <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> DATE 03/1 1 120 1 5 Y) <br /> 03/1112015 <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 F <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 NAµ T DUPREE&WEBB INC <br /> Dupree&Webb,Inc. PHONE Ext•91 g$28-3241 Arc No:919-821-3911 <br /> PO Box 6522 .MAIL <br /> Raleigh,NC 27626-6522 ADDRESS: <br /> Adrian B.Bond INSURE R($)AFFORDING COVERAGE NAIC# <br /> INSURER A:Hartford Casualty Insurance Co 29424 <br /> INSURED JOB READY SERVICES,LLC INSURER s;Hartford Ins.Co.of Midwest 37478 <br /> 2300 WESTINGHOUSE BLVD#107 INSURER C: <br /> RALEIGH,NC 27604 INSURER D: <br /> INSURER E, <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO <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 /> AM IN&q TYPE OF INSURANCE POLICY NUMBER MMIDDlYYYY MMIDDNM LIMITS tm <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> CLAIMS-MADE a OCCUR 22SBAIP7783 03/01/2015 03/01/2016 PREMISE$(Ea.l currence $ 300,00 <br /> MED EXP(Any one person) $ 10,00 <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000+00 <br /> 2,000,00 <br /> PRO- PRODUCTS-COMPlOP AGO $ <br /> POLICY❑JECT �LOC $ G <br /> OTHER: COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY Eaaccldent $ 1,0,00'00 <br /> 22SBAIF7783 03101/2015 03/0112016 BODILY INJURY(Parperson) $ <br /> A ANY AUTO BODILY INJURY(Par accident) $ <br /> ALL-9 AUTOSULED <br /> NON-OWNED (Pe08ERdTnDAMAGE $ <br /> HIRED AUTOS X AUTOS $ <br /> UMBRELLA LIAR EACH OCCURRENCE $ <br /> OCCUR <br /> ESS L1A8 AGGREGATE <br /> EXC $ <br /> CLAWS-MADE <br /> DED RETENTION $ <br /> WORKERS COMPENSATION X STATUTE ER <br /> AND EMPLOYERS'LIABILITY Yt N 22WBCE03770 03/01/2015 03/01/2016 E,L.EACH ACCIDENT $ 600,00 <br /> B ANY PROPRIETORIPARTNERIEXECUTIVE <br /> OFFICERlMEMBER EXCLUDED? LN NIA E.L.DISEASE-EA EMPLOYE $ 600,00 <br /> (Mandatory In NH) 600,00 <br /> 1( 86 describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more apace is raqulred) <br /> E <br /> i <br /> V; <br /> i <br /> j'. <br /> l' <br /> CERTIFICATE HOLDER CANCELLATION k <br /> JOBREAD <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 /> JOB READY SERVICES LLC <br /> 2300 WESTINGHOUSE BLVD#107 AUTHORIZED REP E TIVI- ""'o <br /> RALEIGH,INC 27604 Adrian B. o <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD <br />