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DocuSign Envelope ID:24E74F61-7B98-4FA9-92A7-F4F76B27FD1 B
<br /> ® DATE(MMJDDlYYVY)
<br /> ACRD CERTIFICATE OF LIABILITY INSURANCE
<br /> L.------ 7/1/2017 6/22/2016
<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 pollcy(les) 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 CONTACT
<br /> 2100 ROSS AVENUE,SUITE 1400
<br /> PHONE._.... FAX
<br /> DALLAS TX 75201 E A IAJC,Not:
<br /> Q._ 1: --
<br /> 214-969-6700 ADDRESS:,,,.__....._,..__._.
<br /> INSURERS)AFFORDING COVERAGE NAIC#
<br /> INSURERA:ACE American Insurance Company_.,.— 22667
<br /> INSURED Res-Care,Inc.and all scheduled subsidiaries INSURER B.Endurance American Insurance Company 10641.
<br /> 1 068789 9901 Linn Station Road INSURER C A
<br /> C 7ee Attached
<br /> Louisville KY 40223 INSURER D
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES *RESCAOIP* 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 /> ,......_,..__ _..... .. ..... .....-ADDL SUBR .-.. ..._.._-- POLICY EFF POLICY EXP . . _
<br /> INSR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMJDD/YYYYI (MMIDDJYYYYI LIMITS
<br /> A 7( COMMERCIAL GENERAL LIABILITY N N XSL 627854722 7/1/20I 6 7/1/2017 EACH OCCURRENCE $ 4,000,000
<br /> DAMAGE'TO RENTED —.._ .._....
<br /> A X CLAIMS-MADE OCCUR (CLAIMS MADE) PREMISES(E_a occurrence} $ 300,000,
<br /> X Prof Liabili4y;.,..--..,__. _..._ MED EXP(Any one person) $ XXX XXXX
<br /> PERSONAL&ADV INJURY $ 4,000,000
<br /> GE 'I_AGGREGATE LIMIT APPLIE1S PER GENERAL AGGREGATE $ 6,000,000
<br /> X POLICY ECT f _ I, LOG PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY N N ISA H0904260A 7/1/2016 7/1;2017 ' ECa'accde'Pit INGLE LIMIT ,$ 2,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $XXXXXXX
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX
<br /> _.._. AUTOS ....,.v_,. AUTOS PROPERTY DAMAGE $ XXXXXXX
<br /> X HIRED AUTOS }{ AUTOSJVNED
<br /> AUTOS (Per accident)
<br /> X L'°MI'UIM 500 ONO Med 5,000
<br /> $ XXXXXXX
<br /> B UMBRELLALIAB 1 X OCCUR N N .XSC30000119100 7/1/2016 7/1/2017 EACH OCCURRENCE _,_....._._ $ 3,000,000
<br /> B EXCESS LIAB j CLAIMS-MADE (AUTO&Gh,ONLY)
<br /> AGGREGATE s XXXXXXX
<br /> DED r I RETENTION$ $ XXXXXXX
<br /> WORKERS COMPENSATION - 0TH-
<br /> N SEE.AI�LAHED _..'Y.. .._STATUTE ER
<br /> C AND EMPLOYERS'LIABILITY Y J N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E EACH ACCIDENT $ 2,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<br /> (Mandatory in NH) E.L.DISEASE EA EMPLOYEE,$ 2,000,000-
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E,L DISEASE-POLICY LIMIT $ 2,000,000
<br /> I
<br /> 1
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Auto Liability:North Carolina requires limits for Bodily Injury and Property Damage to be at a Minimum of S500,000 BI or PD.This client's coverage is a
<br /> 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,RetTo
<br /> Date for Policy#XSL G27854722 is 7/1/01.Coverage does not exclude Sexual Abuse/Molestation.
<br /> CERTIFICATE HOLDER CANCELLATION See Attachment
<br /> 10908385
<br /> Orange County DSS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 2501 Homestead Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Chapel Hill NC 27516 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE/ /
<br /> ©1988-2014 /
<br /> -2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
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