2020-698-E-Social Services-CNC ACCESS,INC-ALL WAYS CARING HOME CARE

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DocuSign Envelope ID:2D4F9426-4542-4C8B-8119-E035F9A99D35 .ACORO® DAT 0(7MD2020YYY) CERTIFICATE OF LIABILITY INSURANCE 01/ 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 INSUREII 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.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this w certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 'O NAME: Aon Risk Services Central, Inc. P O E (g66) 283-7122 FAX (800) 363-0I05 Philadelphia PA office (PJC.No.Ext): (A C.No. One Liberty Place 1650 Market Street ADDRESS: 2 Suite 1000 INSURER(S)AFFORDING COVERAGE NAIC# Philadelphia PA 19103 USA INSURED INSURER A: ACE American Insurance Company 22667 Res-Care, Inc. INSURER B: Indemnity Insurance Co of North America 43575 805 North whittington Parkway STE 400 Louisville KY 40222 USA INSURERC: Endurance American Insurance Company 10641 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570082857957 REVISION NUMBER: 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/OD/YYYY MM/DD/V LIMITS X COMMERCIAL GENERAL LIABILITY XSLG EACH OCCURRENCE $4,000,000 X CLAIMS-MADE ❑OCCUR Excess GL/Prof $4,000,000 SIR applies per policy terns & conditions PREMISES Ea occurrence X Professional Liability Included MED EXP(Any one person) $10,000 X Sexual Abuse/MolestationIncluded PERSONAL&ADV INJURY $4,000,000 L GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $6,000,000 U) X cc❑PRO POLICY ❑LOC - , , JECT 0 0 OTHER: r, A AUTOMOBILE LIABILITY ISA H25301389 07/01/2020 07/01/2021 COMBINED SINGLE LIMIT $2,000,000 Ea accident .. X ANY AUTO BODILY INJURY(Per person) O Z OWNED SCHEDULED BODILY INJURY(Per accident) N AUTOS ONLY AUTOS PROPERTY DAMAGE U HIRED AUTOS NON-OWNED Per accident ONLY AUTOS ONLY d C UMBRELLALIAB H OCCUR XSC30000119104 07 01/2020 07 01/2021 EACH OCCURRENCE $3,000,000 V XS Auto & EL Only AGGREGATE $3,000,000 X EXCESS LIAR CLAIMS-MADE DED RETENTION B WORKERS COMPENSATION AND WLRC67454583 07 Ol/2020 07 Ol 2021 X PER STATUTE 1 ORH- EMPLOYERS'LIABILITY Y/N AOS A ANY PROPRIETOR/PARTNER/EXECUTIVE wLRc67454546 07/01/2020 07/01/2021 E.L.EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? FYIN/A (Mandatory in NH) CA E.L.DISEASE-EA EMPLOYEE $2,000,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $2,000,000- DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Retroactive Date for Policy #XSLG71448654 is 7/1/01. Coverage does not exclude Sexual Abuse / Molestation. `.a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Orange County DSS AUTHORIZED REPRESENTATIVE F 2501 Homestead Road Chapel Hill NC 27516 USA c�a i�%�:r�/c eJst.�v�tsrd cJaaet 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD