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DATE(MM/DDIYY) 1 <br /> ACOR CERTIFICATE OF LIABILITY INSURANCE $/5/2014 ; <br /> THIS CERTIFIGAIL IS ISSUED AS A NIATTER OF NFORNIA1 ON ONLY AND CONFERS NO RIGHTS UPON TIME CE:RHROATE HOLDER THIS CERTIFICATE UOES NOT AFF'IRMANVELY OR <br /> rlEE;AT+vEL'r <br /> AMEND EXTEND OR ALTER THE COVERAi["AFFORDED Eat THE POLICIES BELOW '':'HIS CFRTIF'CA'rE Of INSURANCE DOES NOT CONSTITUTE A CONTRACT BETE°TEEN <br /> Tilt [`';JING II TtlrtJEtt:+I A.!'THORIZEn REPRESENTATIVE ORPRODUCFR AND THE.'(WRIi:'IUAIF HOLDER _- <br /> IMP-RT'ANT If she:;ertef.c,+'c holdcx ,an AUDINONAI INSURED the RGlioY:=esj must W,o0orsed IT SUBROGATION IS WAb'ED wlyeet to the terms.-jr:d conditions of the polr;y certain policies may <br /> .cVUae all end0rse�r�ent A itatem.nt on INS ce+U!ieete aces 1101 c0nfe�rrghN'to.:hey cerithcate holder In lieu of such enJu?serneF,trsl <br /> .-.1............................. ........ ..._............_....._.. _ .__ . . <br /> PRODUCER CONTACT <br /> NEGLEY ASSOCIA'rES NAME: <br /> t <br /> 103 Eisenhower Parkway,Suite 101 PHONE FAX <br /> Roseland,N147068 (A/C,No,Ext): t a (AIC.NO)_ I I............. <br /> (973)830-8504 E-MAIL <br /> ADDRESS: <br /> ...._.---.._....... ........ .. ._..___—___._..._._ ., —,.INSURERS AFFORDING COVERAGE NAiC}! ..... <br /> INSURED Scottsdale Insurance Company <br /> INSURER A P.-Y. _ <br /> Club Nova Community,Inc, INSURER B Travelers Indemnity Co.of CT <br /> 103-D West Main Street m_ —_._ _.rc......�._.... ...............................;................................ ...... <br /> Carrboro,NC 27510 INSURER r. <br /> INSURER 0 <br /> INSIlRI?R F <br /> !NSURE3 F <br /> COVERAdES CEIRTIFICAT@ NUMBE=R; REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. +: <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br /> PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN ` <br /> MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER EMMlODlYYYY) IMMfDOtYYYY) LIMITS <br /> ................ ............ ............. ..................... <br /> A GENERAL LIABILITY OPS0064783 05/13/2014 05/13/2015 EACH OCCURRFNIUL 1,000.000 <br /> 1.2.)C?MMERCIAL GENERAL LIA81I.I'TY DAPiAi3E':'O RENTED S 300,000 <br /> I DO(SICLAIMS-MADE l.]oa,uR <br /> l,l ❑ 1'E2EIAISL-S E l p GIN r£n4C—__._.___—._ ___ .__..__ <br /> R1s:f?rxP 1Atty one pers0ni S 5,000 <br /> ---.... .................. ...._..............__...a...._.__"__.........._..._........ <br /> I- PERSONAL-S ADY INJURY S 1,000.000 <br /> OLN AGGRE.GA!L I lhil l APPIJE:; PER c LNt RAt A 6REGAI'E S 3,000.000 <br /> Ix POLA,Y Elk.cic a>E{OLtUr_TS-.C!}f:iP'Oi>AGG S 3.000.000 <br /> 5 AUTOMOBILE LIABILITY C0,111"84,10 SINGLE LIMIT s $1,000,000 <br /> ESA-0428R636- 05/13/2014 05/13/2015 t1:a nactdent: <br /> ❑ANY AUTO , .........a................................ .. _.._ .. ......,_.....__._.._. <br /> 14 I E.ODIL.Y INJURY 1Per.r_r;son) S <br /> []ALL OWNED E(SCHEDULED ; <br /> AUTOS AUTOS BOGILY INJURY tPer A:;cident3 S <br /> ]HIRED AUTOS []NON-OWNED PRC++R IY 11AMAGE $ <br /> .. AUTOS I <br /> S <br /> I ❑UMBRELLA LIAB ❑OCCUR 0 0 EACH OCCURRENCE S <br /> ❑EXCESS LIAB ❑CLAIMS-MADE AGGREGATE <br /> DDED ❑RETENTION$ <br /> _.. I..............1. . .. ._1.-................. ......... <br /> WORKERS COMPENSATION ❑ WIC STATU- ❑OTHER <br /> AND EMPLOYERS'LIABILITY YIN i TORY LIMITS <br /> ANY aROPR!ETOR%PARrNERIIXEC El NIA E...i i , .. ......................................... ........... <br /> i <br /> OFFICE MEMBER EXGL I�I. f A0 AC•CIDEAT <br /> UDEp� i , ..........._...__....__...._,._........._.._._____...._...._...__._..... <br /> (Mandatory 111 NH) i E L DPSEASE-LACH <br /> I I f ye& descrbe under II' 6 MPi Y; <br /> U ;R -- S <br /> l DESCRIPTION OF OPERA"HONS bvow I L DISEfw,E CS'L:hi PE:L IC ll <br /> 3-.___......__...... ._...__---T..__._..... _. .._ .._... .............. ..____........,... ..�........_............... ................................._,,.,.. ............ -_............ .. ..... ..... ._._......_.. _................ <br /> ............................. <br /> 3 l s <br /> 1 u ' I <br /> nESGRIPT'ON CH OPERA'IIONSiI..00A'flONS'VEHIC(.ES(AI!ach AC ORD 101:AJditionctf Remark,Schedule.If nx)re Space Is fequii0) <br /> Certificate Holder is added as Additional Insured, but only with respects to operations of the Named Insured, <br /> I <br /> CERTIFICATE HOLDER CA <br /> ................................... . ...................................... ........ <br /> _. .... N CE LLATI ON <br /> Orange County Risk Manager <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br /> Post Office Box 8181 ! CANCELLED BEFORE THE EXPIRATION DATE THEREOF, <br /> Hillsborough, NC 27275 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> AUTH(5fffZ— 13R�AESENTATIVE � -- <br /> Copi light. 1983 2010 A(`l)R1.){'0llPO LNTION.All I i>thts reSeI-Ved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />