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�Ra CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 01/14/2020 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 Doug Jones Justworks clo Artex Risk Solutions, Inc. 8840 E. Chaparral Rd.; Suite 276 CONTACT Justworks Customer Success NAME: PHONE FAX = Na Ext1' (888 ) 534-1711 AIC No E-MAIL su ort ustworks.com ADDRESS: pp @7 Scottsdale, AZ 85250 INSURER S AFFORDING COVERAGE NAIC N INSURER A : Amed n Zurich Insurance Com an 40142 INSURED Justworks Employment Group LLC Labor Contractor, for co -employees of: Benevate, Inc. INSURER B INSURER C INSURER D — 601 W 26th St New York, NY 10001 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 19NY0171006023 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. INSR CTR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICVEFF MMIDDNYYYI POLICY EXP IMMIDDMWI LIMITS_ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACHOCCURRENCE $ DAMAGETOREN ❑ PREMISES Ea occurrence $ MwExP (Any ono parson) $ _ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: POLICY ❑ PE' LOG GENERALAGGREGATE $ PRODUCTS - COMPIO_P AGO _ $ $ OTHER: AUTOMOBILE LIABILITY NED BINGLE LIMIT itlenl $ ANYAUTO INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS INJURY (Par accident) rPR $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY RTY DAMAGE cident $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION ANDEMPLOVERS'LIABILITY YIN OPFlCERIMEMB REXCUDED?ECUTIVE ❑ NIA WC 49-71-166-00 01/01/2020 06/01/202Q PER OTH- X STATL E ER E.L. EACH ACCIDENT $ 2000,QQQ E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT -- — $ 2,000,QQQ DESCRIPTIONOFOPERATIONSbelow Location Coverage Period: 01/01/2020 06/01/2020 Client# 25327-GA DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached if more space is required) Benevate, Inc. Coverage Is provided for only those co -employees 3423 Piedmont Road NE Suite 216 of, but not subcontractors Atlanta, GA 30305 to: CERTIFICATE HOLDER rAld f.P1 I ATInM Benevate, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3423 Piedmont Road NE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Suite 216 ACCORDANCE WITH THE POLICY PROVISIONS, Atlanta, GA 30305 AUTHORIZED REPRESENTATIVE V" 'f ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and loqo are registered marks of ACORD