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

DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/10/2024 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 Alyson Graziosi NAME: PHONE (A/C, No, Ext): 516-869-8788 E-MAIL ADDRESS: agraziosi@crpgrp.com PRODUCER PG Genatt Group LLC 3333 NEW HYDE PARK RD SUITE 409 NEW HYDE PARK NY 11042 FAX (A/C, No): 516-470-0338 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : XL Specialty Insurance Company GREENMAN INSURED Greenman-Pedersen, Inc. (Morris Plains) 301 Gibraltar Drive, Suite 2A Morris Plains NJ 07950 INSURER B : Everest National Insurance Company 37885 10120 INSURER C : North Pointe Insurance Company 27740 INSURER D : QBE Insurance Corporation 39217 10340 19489 INSURER E : Stonington Insurance Company INSURER F : Allied World Assurance Company (U.S.) Inc. CERTIFICATE NUMBER: 1993401002 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 D ADDL SUBR INSD WVD Y Y TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE X POLICY NUMBER 175000033 POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) 12/31/2024 12/31/2025 OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PROX LOC POLICY X JECT LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 2,000,000 MED

(MM/DD/YYYY) (MM/DD/YYYY) 12/31/2024 12/31/2025 OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PROX LOC POLICY X JECT LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 2,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: C Y AUTOMOBILE LIABILITY X ANY AUTO X OWNED AUTOS ONLY HIRED AUTOS ONLY X UMBRELLA LIAB $ 500,000 X Y 165000040 12/31/2024 12/31/2025 SCHEDULED AUTOS NON-OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ 2,000,000 $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B EXCESS LIAB E A F X Y OCCUR Y XC5CU00324241 12/31/2024 12/31/2025 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 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ Y 155000038 12/31/2024 12/31/2025 X Y/N Property Professional Liability 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 UM00082200MA24A 03141016 12/31/2024 12/31/2024 12/31/2025 12/31/2025 Valuable Papers Each Claim Aggregate $ 1,000,000 $150,000 $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CANCELLATION 30 day notice applies CERTIFICATE HOLDER SAMPLE FOR INFORMATIONAL PURPOSES ONLY ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD