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HomeMy WebLinkAboutInsurance Certificate: Arbor E&T I ----1 ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/1/2020 6/13/2019 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 CONTACT 2100 ROSS AVENUE,SUITE 1400 j U N ,EXt): I(A/C,No): DALLAS TX 75201 E-MAIL 214-969-6700 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Company 22667 INSURED Arbor E&T,LLC INSURER B: Endurance American Insurance Company 10641 1313363 dba ResCare Workforce Services INSURER C: See Attached 805 N.Whittington Pkwy Louisville KY 40222 INSURER D: Indian Harbor Insurance Company 36940 INSURER E: INSURER F: COVERAGES RESCAOI 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 -rypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR IN SD WVD IMM/DD/YYYY)(MM/DD/YYYY) A x- COMMERCIAL GENERAL LIABILITY N N XSLG7I56728A 7/1/2019 7/1/2020 EACH OCCURRENCE $ 4,000,000 A CLAIMS-MADE DE© OCCUR (OCCURRENCE FORM) DAMAGE TO RENTED PREMISES(Ea occurrence) $ 300,000 X Prof.Liability MED EXP(Any one person) $ XXXXXXX X SexAhuse/Molestation PERSONAL&ADV INJURY $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 6,000,000 X POLICYn PE n LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER $ A AUTOMOBILE LIABILITY N N 1SAH25296953 7/1/2019 7/1/2020 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 _ X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX — OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident $ XXXXXXX _ X AUTOS ONLY X AUUTOS ONLDY (Per accident)DAMAGE $ XXXXXXX $ XXXXXXX B UMBRELLA LIAB X OCCUR N N XSC30000I 19103 7/1/2019 7/1/2020 EACH OCCURRENCE $ 3,000,000 B X EXCESS LIAB CLAIMS-MADE (AUTO&EL ONLY) AGGREGATE $ XXXXXXX DED I I RETENTION$ $ XXXXXXX WORKERS COMPENSATION C AND EMPLOYERS'LIABILITY Y/N N SEE ATTACHED X I STATUTE OER ANY PROPRIETOR/PARTNER/EXECUTIVE © N/A E.L.EACH ACCIDENT $ 2,000,000 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 $ 2,000,000 D Misc.Professional Lie. N N MFP 0033978 09 7/1/2019 7/1/2020 $5M claim/$5M agg;Ded$150K/claini DESCRIPTION OF OPERATIONS/LOCATIONS/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 i 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 - Z 'llae ---fri,...". ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.All rights reserved . The ACORD name and logo are registered marks of ACORD