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HomeMy WebLinkAboutInsurance Certificate: Arbor E&T ~ 1 AcoRO~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDrYYYY) ~~u2oI8 6/21/2017 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. 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCKTON COMPANIES NAMEA 2100 ROSS AVENUE, SUITE 1400 arc, No, Ext : arc, No DALLAS TX 75201 E-MAIL 214-969-6700 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : ACE Alllel'ICan 1nSUCanCe 00171 a[l 2266 INSURED Arbor E&T, LLC INSURER B : Endurance American Insurance Com an 10641 1313363 dba Res-Care Workforce Services INSURER c : See Attached 9901 Linn Station Road LOUISViIIe KY 40223 INSURER D : Indian Harbor Insurance Com any 36940 INSURER E INSURER F COVERAGES RCSCAGI CERTIFICATE PJUNiBER: 14425 108 RE~fiSiON 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 INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY N N XSL 627867923 7/U2O17 7/1I2O18 EACH OCCURRENCE $ 4 OOO,OOO A CLAIMS-MADE ❑ OCCUR (OCCURRENCF, FORM) DAMAGE TO RENTED ~ X PREMISES Ea occurrence $ BOO OOO X PCOf. LIab111t~ MED EXP (Any one person) $XXXXXXX X SexAbuselMolestation PERSONAL & ADV INJURY $ 4,000 OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000 OOO X' POLICY❑ PER ❑ LOC PRODUCTS - COMPrOP AGG $ 4,000 OOO OTHER: $ A AUTOMOBILE LIABILITY N ISA H0905991A 7/1/2017 7/1/2018 E~ aBc~deDtSINGLE LIMIT $ 2,000 OOO X ANY AUTO BODILY INJURY (Per person} $XXXXXXX ~UTOS ONLY AUTOSULED BODILY INJURY (Per accident $XXXXXXX X AUTOS ONLY X AUOTOS ONL~ Pe~accR en DAMAGE $XXXXXXX $XXXXXXX g UMBRELLA LIAB X OCCUR N N XSC3000O1 l9I O1 ~III2O17 7II I2O18 EACH OCCURRENCE $ 3,000 000 B X EXCESS LIAB CLAIMS-MADE (AUTO & EL ONLY) AGGREGATE $XXXXXXX DED RETENTION $ $XXXXXXX C WORKERS COMPENSATION SEE ATTACHED X STATUTE OER AND EMPLOYERS' LIABILITY Y r N N ANY PROPRIETORlPARTNERlEXECUTIVE ~ N 1 A E.L. EACH ACCIDENT $ 2~OQQ QQQ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT ,000,000 D Misc. Professional Lia. N N MPP 0033978 U7 7102017 7/1/2018 GSM clainU$SM agg: Ded $150lUclaim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage applicable to work performed under the National Fish & Wildlife grant. 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. 14425708 AUTHORIZED REPRESENTATIVE The City of Ashland 20 East Main Street Ashland OR 97520 ~ ~ ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Re: Res-Care, Inc. Enclosed for your record is Res-Care, Inc.'s 6/27/2017 andlor 71112017 renewal certificate of insurance. Please note that this renewal will be the last time that we will send out a hard copy of this certificate. Going forward we will be sending out all certificates electronically. If you wish to receive renewal certificates going forward please send us the following information to the Dallas Certificate Unit at RescareCert(a~lockton.com Do you wish to receive renewal certificates: Yes [ ] No [ Certificate Holder Name and Address: Email Address: Certificate Number*: *Note: This information can be found at the bottom left hand corner of the certificate next to the certificate holder's information PLEASE NOTE: If we do not receive a response from your company we will assume that this certificate is no longer needed.