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HomeMy WebLinkAboutInsurance Certificate: Arbor E&T, LLC ,ncoRO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/L/2019 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. 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). CONT CT PRODUCER LOCKTON COMPANIES N AME: 2100 ROSS AVENUE, SUITE 1400 A/c, No, Ext : A/c, No DALLAS TX 75201 E-MAIL 214-969-6700 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : ACE American Insurance Com am' 22667 INSURED Arbor E&T, LLC INSURER B : Iindurance American Insurance Company 10641 1313363 dba Res-Care Workforce Services INSURER C : Sec Attached 9901 Linn Station Road Louisville KY 40223 INSURER D : Indian Harbor Insurance Company 36940 INSURER E : INSURER F: I COVERAGES RESCA01 CERTIFICATE NUMBER: 14425708 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 INSD WVD POLICY NUMBER MM/DDfYYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY N N XSLG7109683A 71112018 7/I/2019 EACH OCCURRENCE 4,000,000 A CLAIMS-MADE OCCUR (OCCURRENCE I-ORM) DAMAGE TO RENTED x PREMISES Ea occurrence 300,000 X Prof. Liability MED EXP An one person) XXXXXXX X SesAbuse/Molestation PERSONAL & ADV INJURY $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 6,000,000 POLICY-1 JECOT E] LOC PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER $ A AUTOMOBILE LIABILITY N N ISA1125 I W02 7/ 1 /201 8 7/ 1 /2019 C SINGLE LIMIT Ea Ma a ....D adent $ ANY AUTO BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX AAUTOS ONLY AUTOSULED AUTOS ONLY X AUTOS ONL~ Perr accRde DAMAGE $ XXXXXXX $XXXXXXX 13 UMBRELLA LIAB X OCCUR N N XSC30000119102 7/1/2018 7/11/2019 EACH OCCURRENCE $ 3,000,000 13 X EXCESS LIAB CLAIMS-MADE (AUTO & EL ONLY) AGGREGATE $ XXXXXXX DED RETENTION $ $ XXXXXXX C WORKERS COMPENSATION PER OH- AND EMPLOYERS' LIABILITY Y I N N SI.I: ATTACI II.D X STATUTE ER OFFICER/MEMBER EXCLUDED? ECUTIVE N❑ N / A E.L. EACH ACCIDENT $ 7,000,000 ( Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, descnbe t,rde( 0 DESCRIPTION OF OPERATIONS below 2,000,00`) E.L. DISEASE - POLICY LIMIT D Niise. Pruicssiouai Lia. N N jvIPP 0033970" C° i 1201 v 7. I, i 9 :SM d,11111 h11vi agg, Dec $1501; claim DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coveraac applicable to work performed under the National Dish & Wildlilc 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 ~F /IGw i (r i' t ~GGfI l/?9 r~ ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Miscellaneous Attachment : M488826 Master ID: 1313363, Certificate ID: 14425708 RES-CARE, INC. AND ALL OF ITS SUBSIDIARIES CERTIFICATE CONTINUATION WORKERS' COMPENSATION POLICIES WLR C64790365 (All Other States) - Indemnity Insurance Co. of North America, NAIC #43575; Eff. 7/1/2018 - 7/1/2019 WLR C64790377 (AZ, CA) - ACE American Insurance Co., NAIC #22667; Eff. 7/1/2018 - 7/1/2019 WLR C64790389 (TN) - Agri General Insurance Co., NAIC #42757; Eff. 7/1/2018 - 7/1/2019 SCF C64790390 (WI) - ACE Fire Underwriters, NAIC #20702; Eff. 7/1/2018 - 7/1/2019 OHIO EXCESS WORKERS' COMPENSATION SP 4057813 - Safety National Casualty Corporation, NAIC #15105; Eff 12/1/2017 - 12/1/2018 Cov. A - Statutory Cov. B - $1,000,000 Each Accident / $1,000,000 Each Employee (Disease) / $1,000,000 Agg. (Disease) WASHINGTON EXCESS WORKERS' COMPENSATION WCUC64790407 - ACE American Insurance Cn., NAIC #22667; Eff. 7/1/2018 - 7/1/2019 Maximum Liability of Excess Insurer: $2,000,000 / Retention: $1,100,000 TEXAS NON-SUBSCRIBER (EMPLOYER'S EXCESS INDEMNITY) EPG000007607 - North American Specialty Ins. Co., NAIC #29874; Eff. 6/27/2018 - 6/27/2019 $25,000,000 per Occurrence / $25,000,000 Aggregate Miscellaneous Attachment: M488826 I Ltd u; N,. Re: Res-Care, Inc. Renewal Certificate of Insurance Enclosed for your record is Res-Care, Inc. 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 Rescarecert(?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.