2018-583-E DSS - CNC Access-ResCare Home Care in home aide services

Browse Search

DocuSign Envelope ID: D12D805C-2FE9-453A-BC1C-9C0147D6BB12 A��'E11" CERTIFICATE OF LIABILITY INSURANCE DATE(MMI°D,YYYlI- 71112019 6/25/2018 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=S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER- IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. It 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). CONTACT PRODUCER LOCKTON COMPANIES NAME: FAX 2100 ROSS AVENUE SUITE 1400 i AfC,Na,Ext: (AIC.No); DALLAS TX 75201 E-MAIL 214-969-6700 ADDRESS:- - -- INSURER(S)AFFO.DI G COVEMQE NAIC N INSURER A: ACE Americana Insurance Company 22667 INSURED Res-Care,Inc, INSURER B: Endurance American Insurance CoMany 10641 - 1068789 9901 Linn Station Road INSURER C: See Attached Louisville KY 40223 INSURER D: INSURER E, INSURER F: COVERAGES *RESCA01P* CERTIFICATE NUMBER, 12696764 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 ADDL SUBR - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER WIDWYYYY MM DD LIMITS A X COMMERCIAL GENERAL LIABILITY N N XSL 071096798 7/112018 7/112019 EACH OCCURRENCE 4,000,000 xi CLAIMS-MADE OCCUR (CLAIMS MADE) DAMAGE TO RENTED 300,000 PREMISES Ea occurreryce • PLUE Liabilijy MED EXP(Any one person) XXX� • S"Abuse/Moleatation PERSONAL&ADV INJURY s 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE s 6,000,000 ]{ POLICYEI PRO- ❑LOC PRODUCTS-COMPIOPAGG S 4,000,000 JECT OTHER: S A AUTOMOBILE LIABILITY N N ISAH25158702 7/1/2018 7/1/2019 Eo.c.'elntSINGLELIMIT s 2,000, 00 X ANY AUTO BODILY INJURY(Per person) S XXXXXXX OWN SCHEDULED BODILY INJURY(Per accident $ X]{XXX.XX AUTOS ONLY AUTOS HIREOD NON-OWNED PROPI R7Y DAMAGE $X AUT S ONLY X AUTOS ONLY Per aecide t $ XXXXXXX ]3 UMBRELLA LIAB X OCCUR N N XSC30000119102 711/2018 7/117:019 EACH OCCURRENCE $ 3000,000 E EXCESS LIAB I CLAIMS-MADE (AUTO}&EL ONLY) AGGREGATE s XXXXXXX OED I I RETENTION S _ s WORKERS COMPENSATION SEI;ATTACHED X. STATUTE O'TR C AND EMPLOYERS'LIABILITY YIN N ANY PROPRIETORAIARTNEWEXECUTIVE NIA E.L.EACH ACCIDENT s 21000,000 OFFICERIMEMPER EXCLUDED? 11 IMandaloryr In NHI E.L_DISEASE-EA EMPLOYEE 2,000,000 DESCRIPTION Or OPERATIONS below E.L.DISEASE-POLICY LIMIT 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 1 01,Additiona[Remarks Schedule,may be attached if more space is required) Retro Date for Policy NXSL 071096798 is 7/1/01.CNC/Access,Inc dba ResCare H mcCare a subsidiary of ResCare,Inc. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12696764 AUTHORIZED REPRESENTATIVE Orange County 113 Mayo St. Hillsborough NC 27278 �! ACORD 25(2016103) @1988-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD