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HomeMy WebLinkAboutInsurance Certificate: Arbor E&T, LLC d/b/a Equus Workforce SolutionsrRANASR.ns r.RACEWARD .44CoR15- CERTIFICATE OF LIABILITY INSURANCE `-�—� DATDIYYYY) l01812rsr2o24 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(les) 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 c gcr Xach Walsh Thompson Flanagan Executive Liability Group, LLC 626 West Jackson Blvd SthFloor PHONE FAX (AIC, No, Ext): (312) 566.4726 AIC, No): EL�11DAlhss•zwalsh thompsonflanagan,com Chicago, IL 60661 INSURE S AFFORDING COVERAGE NAIC It INSURERA Momesite Insurance Com an of Florida 11156 INSURED INSURER a: Pennsylvania Manufacturers Indemnity Com an 41424 NSURERc:Underwriters at Lloyds London IL 16792 ArborE&T, LLC dlbla Equus Workforce Solutions tNSURERD:Allied World Assurance Company U.S. Inc. 119489 9510 Ormsby Station Road, Suite 104 Louisville, KY40223 iNsuRERE:Lexin ton Insurance Company 19437 INSURER F COVERAGES CERTIFICATE NUMBER: RFVIRIDN NIIMRPR 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 CONTRACTOR 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. ILSR TR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR P0003898100 9/30/2024 9/30/2025 EACH OCCURRENCE 1,000,000 IQM,3SESDRENTED S 100,000 MED EXP (Any one rsm g 10,000 PERSONAL &ADV INJURY S 1,000,000 GENLAGGREGATELJMITAPPUESPER: X POLICY ❑ECT LOC GENERAL AGGREGATE g 2,000,000 PRODUCTS -COMPIOPAGG S 2,000,000 S OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 2,000,000 BODILYINJURY Per rson $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUUT�WNEp OS 1524751489673 9130/2024 9/30/2025 BODILY INJURY (Per accident) $ 'a0.Y, A?AAGE $ ATTOS ONLY AUTO ALLY $ C X UMBRELLA LM13 X OCCUR EACH OCCURRENCE S 3,000,000 AGGREGATE s 3,000,000 EXCESS LIAB CLAIMS -MADE XS1168324 913012024 9/3012025 DED I I RETENTION $ g B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOfWARTNERIEXECUTIVE ❑ OFFICEWD�EnREREXCLUDED? Mandato i NNHH)i If yes, describe under DESCRIPTION OF OPERATIONS belaw NIA 202475 1489673A 9r3012024 9/30/2025 X I PER OTH- 'TESTAT E E.L. EACH ACCtDENT S 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,0{}0 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Umbrella Excess 314.0098 9/30/2024 9/3012025 $5M x $3M 6,000,000 E Excess GL 27734405 9/3012024 9/30/2025 $1M x $1M 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Additional Coverages: Sexual Abuse and Molestation - Beazley Excess and Surplus Insurance Inc. - Policy Number: D33C90240301 913012024 - 9/30/2025 Occurrence Limit: $2,000,000 Aggregate Limit: $4,000,000 Group Accident - National Union Fire Insurance Company of Pittsburgh, PA - Policy Number: SRG 0009159184 - 9/30/2024-9/30/2025 - Limit: $25,000 SEE ATTACHED ACORD 101 The City of Ashland 20 East Main Street Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: GRANASS-03 GRACEWARD AC[]RO° LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Thompson Flanagan Executive Liability Group, LLC NAMED INSURED Arbor E&T, LLC dlbla Equus Workforce Solutions 9510 Ormsby Statio Road, Suite 104 Louisville, KY POLiCYNUMBER EE PAGE 1 CARRIER EE PAGE 1 NAIL CODE SEE P 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 26 FORM TITLE: Certificate of Llablll insurance Description of Operations]LocationsfVehicies: Professional i_iabilitylErrors & Ommissions - Gemini Insurance Company - Policy Number: VPPLO21691 - 913012024 - 9/30/2025 - Occurrence Limit: $6,000,000 Aggregate Limit: $5,000,000 Medical Professional Liability/Errors & Ommissions - Landmark American Insurance Company - Policy Number: LHM861405 - 9/3012024 - 9/3012026 - Occurrence Limit: $3,000,000 Aggregate Limit: $5,000,000 Certificate holder is included as an additional insured (on a primary & non contributory basis) where required by written contract with the named insured. A waiver of subrogation is In favor of the certificate holder where required by written contract with the named insured. Coverage applicable to work performed under the National Fish & Wildlife grant. ALUKIJ 1U1 t'LUUtJ/U1) 02008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD