43-25 RFP-Responses-Rock Spring Golf Course.pdf

DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 2/20/2024 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 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 lieu of such endorsement(s). CONTACT Tina Taran NAME: PHONE (A/C, No, Ext): 973-377-7000 E-MAIL ADDRESS: tinat@dalegroup.com PRODUCER Dale Group PO Box 6 Florham Park NJ 07932 FAX (A/C, No): 973-377-4614 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Continental Casualty Company SUBUR-7 INSURED Suburban Consulting Eng. Inc. 96 Hwy RT 206 Suite 101 Flanders NJ 07836 INSURER B : Valley Forge Insurance Company 20443 20508 INSURER C : The Continental Insurance Company Of New Jersey 42625 INSURER D : National Fire Insurance Company of Hartford 20478 INSURER E : INSURER F : CERTIFICATE NUMBER: 590276563 COVERAGES 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 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 LTR A ADDL SUBR INSD WVD Y Y TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE X X POLICY NUMBER 7018338493 POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) 2/24/2024 2/24/2025 OCCUR Contractual Liab GEN'L AGGREGATE LIMIT APPLIES PER: PROPOLICY X JECT LOC LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $

PER: PROPOLICY X JECT LOC LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: D Y AUTOMOBILE LIABILITY X ANY AUTO X OWNED AUTOS ONLY HIRED AUTOS ONLY X UMBRELLA LIAB $ 100,000 X Y 7018333701 2/24/2024 2/24/2025 SCHEDULED AUTOS NON-OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ 1,000,000 $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A EXCESS LIAB B C C X Y OCCUR Y 7018333729 2/24/2024 2/24/2025 CLAIMS-MADE X RETENTION $ DED 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Professional Liab Pollution Liability EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ 7018333715 Y/N N 2/24/2024 2/24/2025 X PER STATUTE OTHER E.L. EACH ACCIDENT N/A $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT AEH004316497 AEH004316497 2/24/2024 2/24/2024 2/24/2025 2/24/2025 Claim/Occurence Aggregate $ 1,000,000 $5,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Insurance ACORD 25 (2016/03) AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD