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06/30/2016 10:28AM FAX 9192,451010 Knight Insurance la0001/0001 <br /> (reatea On: I nurmay, June Wth, 2016 at 10:23AM <br /> CCIIRV CERTIFICATE OF LIABILITY INSURANCE DA'��"�°D"""'' <br /> ' <br /> �--�-� 06/30/2016 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER ME; KNIGHT INSURANCE <br /> KNIGHT INSURANCE PHONE r� <br /> 110 BOONE SQUARE ST,STE 7 MA 14 Extl:71 -245-1 OZQ .Nor 919-245-1010 <br /> DDRESS, <br /> HILLSSOROUGH,NC 27278 INSURER(S)AFFORDING COVERAGE NAIL If <br /> .. _. INSURERa: DTI)-,()S INSURAt�IOF�;OMPANY . <br /> INSURED INSURER a <br /> INSURERC` <br /> ORANGE TENNIS CLUB INSURERD: <br /> Coo ANGELA BARLEY <br /> 3300 COTTON RUN ROAD INSURER E: <br /> EFLAND NO 27243 <br /> Iwsue�RF <br /> COVERAGES CERTIFICATE NUMBER: 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 <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OP SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LtR TYPE OF INSURANCE A POLICY NUMBER !bD POLICY EXP LIMITS - <br /> GENERAL LIABILITY NN599597 09/14 a/15 09/14116 EACH OCCURRENCE <br /> 4 a 1,000,040 <br /> A X COMMERPAGENERALLIABILITY <br /> SES Ea btcurtonctt $ AD- <br /> CLAIMS-MADE tnJ OCCUR MED EXP Any one paaon S <br /> .. ._ PERSONAL&ADV INJURY $ <br /> GENtf?ALAGGREGATE 12MO,OOO <br /> GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S <br /> Nmly PRO, LCC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Gtlen1 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEOULEO <br /> AUTOS AUTO S BODILY INJURY{Per acGdmt3 S <br /> HIRED AUTOS A�(ITpg�ED (For o ide 1DAMAGE <br /> S <br /> UMBRELLA LIAB _ CfR EACH OCCURRENCE S <br /> EXCESS LIAB CLrUMS-MADE AGGREGATE ; <br /> OEO RETENTION S $ -- <br /> WORKERS COMPENSATION I WC STATU• OTH- <br /> AND EMPLOYERS'LIABILITY Y t N LIM <br /> ANY PROPRIETCRIPARTNERIEXECUTIVE D NIA <br /> A E.L.EACH ACCIDENT '$ <br /> OFFICERIMEMBERUXCLUDED? - <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE E <br /> 11 yS dawibe under - <br /> OESGRIPTION OF OPERATIONS wow E.L DISEASE-POLICY UMIT S <br /> DESCRIPTION OE OPERATIONS/LOCATIONS I VENICLe$(AttpOh ACORD 101,Addldona:Rmuke SChedUle,if more apace Is regolrrd) <br /> TENNIS CLUB <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH, NC 2727$ ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> ®1988-2010 ACORD CORPORATION. All rights reserved, <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />