2014-274 Aging - Michael Savino for therapeutic massage services $2,400

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Client#:955852 04SENIOCAR1 DATE(MWDD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 07/25/2014 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 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 -CONTACT NAME: BB&T Insurance Services, Inc. PHONE 888 743-2217 - 8888279861 414 Gallimore Dairy Road -MA L°'EXt: ac,No ADDRESS: Suite F INSURER(S)AFFORDING COVERAGE NAIC# Greensboro,NC 27409 INSURER A:Evanston Insurance Company 35378 INSURED INSURER B:Riverport Insurance Company 36684 Senior Care of Orange County Attn Day Health Cent INSURER C:Travelers Casualty&Surety Co 31194 PO Box 8181 INSURER D: Hillsborough,NC 27278-8181 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RE=SPECT 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD A GENERAL LIABILITY SM901844 7/1312014 07/13/2015 DEACHGOCCURRENC= $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED $5O OOO X CLAIMS-MADE F-1 OCCUR MED EXP(Anyone parson) $5,000 X BI/PD Ded:5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP,OP AGG $ PR POLICY . o- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Pei person) $ ALL OWNED SCHEDULED BODILY INJURY(Pei accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAG= HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ B WORKERS COMPENSATION WC329001526503 2/08/2014 02/08/201 X TO Y LIMIT OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? F_Y� N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $500,000 A Errors&Omission SM901844 7/13/2014 07/13/2015 $1,000,000/$3,000,000 C Crime 105613156 5/15/2013 05/15/201 $100,000 Ded: $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Miscellaneous Coverage-Professional Liability-Pol.#SM901844 Professional Liability Limit#1: 1,000,000 Ded.#1:$5,000.00 Limit#2: 3,000,000 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Senior Care of Orange Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Day Health Center ACCORDANCE WITH THE POLICY PROVISIONS. For Information Only PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough,NC 27278-8181 p C 1988-2010 ACORD CORPOR4TION.All rights reserved. ACORD 25(2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S12735871/M12735867 JUS C