2019-705-E DSS - CNC Access Inc. dba All Ways Caring Home Care in home aide services

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DocuSign Envelope ID: D8DDOCAC-28AE-4803-A27B-BB0087EDDFOB DATE(MMIDDNYYYY) A�Ro CERTIFICATE OF LIABILITY INSURANCE 7/1/2020 6/13/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO FLIGHTS 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 certiflcate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 rlghts to the certificate holder in lieu of such endorsements. ACT PRODUCER LOCKTON COMPANIES NAME; 2100 ROSS AVENUE,SUITE 1400 PHONE I FAx M. No: DALLAS TX 75201 E-MAIL 214-969-6700 AODREss: INSURERS AFFORDING COVERAGE NAIC A INSURER A:ACE American Insurance CQ=any 22667 INSURED Res-Care,Inc. INSURER s;Endurance American Insurance Cem an 10641 1078748 805 N Whittington Parkway INSURER C:See Attache Louisville KY 40222 INSURER D INSURER E: INSURER F: COVERAGES *RESCAOIP* CERTIFICATE NUMBER: 10908395 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 TYPE OF IN AODL SUER POLICY NUMBER POLICY EFF MM aD OLICY rrM ExP LIMITS LTRWyn A X COMMERCIAL GENERAL LIABILITY N N XSL 071567242 7/1/2019 7/1/2020 EACH OCCURRENCE s 4 00a 000 A X CLAIMS-MADE OCCUR (CLAIMS MADE) PREMISES Es occurrence $ 300 000 X Prof.Liabilitv MED ExP(Any one person) $ XXX_XXXX X SexAhuse/Moiestation PERSONAL&ADV INJURY s 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3 6,000)000 POLICY❑j�� LOC PRODUCTS-COMPIOP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY N N ISAH25296953 7/1/2019 71ll2020 (IE caldeentINED SINGLE LIMIT S 2,000,000 Ix ANY AUTO BODILY INJURY(Per person) $ �(�X OWNED SCHEDULED BODILY INJURY{Per acddenty $ XXxXXxx AUTOS ONLY AUTOS X HIRED NON-OWNED ROraocidenDAMAGE $ xX�X AUTOS ONLY AUTOS ONLY $ XXXXXXX B UMBRELLA LIAR ]{ OCCUR N N XSC30000119103 VV2019 7/1I2020 EACH OCCURRENCE s 3.000.000 R EXCESS LIAR CLAIMS-MADE (AUTO&EL ONLY] AGGREGATE $ XXXXXXX DED I I RETENTIONS 3 XXXXXXX WORKERS COMPENSATION N SEE ATTACHED X STATUT ERH G AND EMPLOYERS'LIABILITY Y I N EL.EACH ACCIDENT S 2,000,000 ANY PROPRIETORIPARTNERIE%ECUTIVE NIA A IMandatoryOFFICER/M in HR ExCLU0E07 E.L.DISEASE-EA EMPLOYEE $ 2,000,000 iMandatory in NHI IF yes,describe under E.L.DISEASE-POLICY LIMIT S 2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Addilional Remarks Schedule,may be attached If more space is required) Retro Date for Pot icy#XSL G71567242 is 711101.Coverage does not exclude Sexual Abuse 1 Molestation. CERTIFICATE HOLDER CANCELLATION See Attachment 10908385 Orange County OSS THE U EXPIRATION LD ANY OF H DATE VTHEREOF, NOTICE POLICIESE DESCRIBED WILL BE CANCELLED BEFORE DELIVERED IN 2501 Homestead Road ACCORDAAICE WITH THE POLICY PROVISIONS. Chapel Hill NC 27516 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD