2014-445 Finance - Club Nova Community, Inc. - Outside Agency Performance Agreement $75,000

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ACQRDT"' CERTIFICATE OF LIABILITY INSURANCE Ds//14/20 4�DDlYY) fi-IS 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 COVLRAGC AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OtINSURANCE DOES NOT CONSTITUTE A CONTRAC'BETWEEN THE ISSUING IN_SUJT ft A ''HORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER IMPORTAN` If the ceitif eate holder is an ADDITIONAL INSURED.the ppJlGyt)es)must be endorsed If SUBROGATION IS tNAIVED subject to the!eons and conditions of the policy certain policies may ii (rcauue an endorsement A statement on this certificate does not confer n�hts to the certificate holder in lieu of such endorsernetn{5� i PRODUCER _ — _ CONTACT _ j NEGLEY ASSOCIATES NAME: 103 Eisenhower Parkway,Suite 101 PHONE FAX I (Arc,Na,E>n): t s IArc,Na): Roseland,NJ 07068 ( y (973)830-8500 E-MAIL — i ADDRESS: INSURERS AFFORDING COVERAGE NAIC aY _ INSURED INSURER A Scottsdale Insurance Company �— Club Nova Community,Inc. ---- - I ----_ _.- ._ INSURER B Employers Insurance Company of Wausau — 103-D West Main Street INSURER C Travelers Indemnity Co.of CT Carrboro,NC 27510 __" . . .......__--- -- ---—.- ----...----,-- - __ __ _ INSURER D INSURLk E INSHRFR F COVERAC3E5 — CERTIFICATENUMBER: _ REVIS ION N LIME ER: 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 I ADOL SUBR POLICY EFF POLICY EXP LTR _— __-- TYPEOFINSURANCE i INSR WVD POUCYNUMBER SMMIDDIYYYYI IMM1DOtYYYY LIMITS _ A GENERAL LIABILITY OPS0064783 05/13/2014 05/13/2015 EACH OCCURRENCE S 1,000,000 ®COMMERC AL GFNFRAI LIABILITY DAMAGE TC REN TED $ 300,000 1 OOc AIMS-MADE ❑ot,t;L•a C9 C.1 PREMISES(Ea ocewrence L, NICE)EXP(Any we peisvri) iJ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER tiENERAt.At IiRFGATt 3 3,000,000 EIPOUGY LIPRUJCCT ❑LOC 1iRODUCTS-COMPIOP AGO S 3.000,000 C AUTOMOBILE LIABILITY LJ ❑ BA-0428R636- 05/13/2014 05/13/2015 COtvIBINED SINGLE fJf,IIT S Ea aCadent i LJANY AUTO 14 BODILY INJURY(Per Person) S [-]ALL OWNED ©SCHEDULED BODILY INJURY(Per Aur;Oent) $ AUTOS AUTOS - ----------- ❑HIREDAUTOS ❑NON-OWNED PROPFRTYDAMAGF. S AUTOS Per []UMBRELLA LIAR ❑OCCUR ❑ O EACH'OCCURRENCE $ ❑EXCESS LIAB ❑CLAIMS-MADE AGGkFGAlE $ ❑DED []RETENTION$ B WORKERS COMPENSATION —— WCG641 438860 05/13/2014 05/13/2015 El WIC STATU- MOTHER AND AND EMPLOYERS'LIABILITY YM TORY LIMITS ANYPROPRIEIOR-PARFNER:LXLC ❑ NIA L.J -- . .............._......_._._.-- ------_„-.0 00 -- OFFICEWENIBER EXCLUCEDn 014 E t EACH ACCIDENT SSOO,0 (Mandatory In NH) E L DISEASE-=AC-I 500,000 If yes descnbe under f LMPLUYEE.._ ..- DESCRIPTION OF OPERATIONS below E L DISEASE POLICY 116117 $500,000 M1 A Professional Liability OPS0064783 05/13/2014 05/13/2015 1,000,000 Each Claim s 3,000,000 Aggregate A Directors&Officers Liability OPS0064783 05/13/2014 05/13/2015 1,000,000 Each Claim DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) Certificate Holder is added as Additional Insured under the General Liability, but only with respects to operations of the Named Insured. i CERTIFICATE HOLDER CANCELLATION Orange County Risk Manager Mum. CC)lR_1PT)jU1ii*_U SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE P.O, BOX 8181 CANCELLED BEFORE THE EXPIRATION DATE THEREOF,Hillsborough, NC 27278 POLICY WILL E D LIVERED IN ACCORDANCE WITH THE AUTHORt2ECJ REPRESENTATFVE Tights vesel' ed. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD