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CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE _ 06r21/2020 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 p011cy(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 Ilou of such andorsamonttsl_ PRODUCER CustomerSuccess CANT Justworks Customer Success Doug Jones Justworks pNONE ` - (888) 534 1711 do Adex Risk Solutions, Inc. jjEEAf_c�Ho F,SU 8840 E. Chaparral Rd.; Suite 275 ADDRESS support@fustworks cam Scottsdale, AZ 85250 ,.,e„e�e.... ............... ....... INSURED Justworks Employment Grout) LLC Labor Contractor, for co�omp!oysas of, Benevato, Inc. 55 Water Street 29th Floor Newyork, NY 10041 COVERAGES r:ERTlrinerp wlsnacn•Dnnlvnl>�nnamn _.._._.....".............. ...... ..—.. THIS INDICATED. CERTIFICATE EXCLUSIONS MSR t IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH .. --"-- -_..__1ADdLj5Da'R!____ TYPE OF INSURANCE _IINSP COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR r -' G ENT AEON L CATE LIMIT APPLIES PER POLICY C ] p�Or LOC l OF INSURANCE PERTAIN, POLICIES, LISTED BELOW HAVE BEEN ISSUED TO TERM OR CONDITION OF ANY CONTRACT THE INSURANCE AFFORDED BY THL POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY _ _. -_..._ PTSL(CY F IJeEa' _,,,__POLICYNUruH R jM il�lUpIYVYYLjfPOLICYEItp - ' � 7FIE INSURED OR OTHER DESCRIBED PAID CLAIMS, VOI,ICY EXP j NAMED ABOVE FOR THE DOCUMENTWITH RESPECT THEREIN IS SUBJECT TO .,` LIMITS EACH OCCURRENCE PREMISEbjEaoca__„caJ„ PERSONAL &AOV INJURY 2 NERALAGGRCOATE PRODUCTS. COMP/OP AGG I��OMaaiNC0151NGt i'�I�—'— POIJCY PERIOD TO WHICH THIS ALL THE TERMS, ...... $ 5 m _ $ - $ .. __ ....n AUTOMORILFl1ABIl ITY ANY AUIC OWNED SCHei`UL£p AUTOS ONLY (( AUTOS HIRED I NONOWNEO AUTOS ONLY F AUTOS ONLY I ., I I _. BODILY INJURY IPxr Pursen) BODILY INJURY (Perwinum).S IPRO�'ERT�DARIhi ;Der aLuaonDANIAE _ $- -- ------ fS UMBIiRLIA LIAR OCCVR EXCESS UAD CLAIMS MADE i EACROCCURRENCE - - AGGREGATE $ m - -- - S OEO RETENTION$ ! $ _ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN._. �EOT ....... -_ A ANYPROPRIETORIPARTNERIEXECUTIVE r l OFFICERR,IEMBEREXCLUI L J!NIA -WC 4Q.71-166�01 06POV2020 � C610112021 E L. EACH ACCIJCN r S 2,000 000 — i.-..-_. IMannatory In NNl - 111 yes, tlescnhe antler ,DESCRIPTION OF OPERATIONS bebw ! �FL DISEASE, _EACMPLO)EE$ E.{.. DISEASE POLICY LIMIT 2'000 00Q ._...__. OD S 2,000,000 Location Covarage Period: 106101/2020 06/01/2021 Client# 25327-GA I _.-....._. ......._..I DESCRIPTION Of OPERATIONS I LOCATIONS r VEHICLES ACORD 101, AdditionalRamarkx Schedule, maybe anachod If more space Is rxyulretll only Nose rn providedfor 3423 Piedmont Road NE Suite 216 Covonly Unno is-emmI.J ms Benevate,3423 Pied Inc. REVIEWED CX APPROVED of, but not subcontractors Atlanta, GA 30305 Y Risk MANAGEMENT DjVjSION m: jj'' iill pp qq JVN Benevate, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3423 Piedmont Road NE Suite 216 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Atlanta, GA 30305 AUTHORIZEEDDREP�RE�SEENTATIVE v 1000-AVID AL LJKLJ L.Ut(HUP(A I PUN. Ail rights reserved. ACORD 25 (2016/03) The ACORD nano and logo are registered marks of ACORD