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CERTIFICATE OF LIABILITY INSURANCE
DATE(MMroom)
1lCi6l17
PRODUCER
Keystone Risk Managers, LLC
CERTIFICATE #:
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�1�1J. S.7�—.I. 1. 1�
1995 Point Township Drive
Northumberland, PA 17867
INSURERS AFFORDING COVERAGE:
ADDITIONAL NAMED INSURED:
INSURER A:
Lexington Insurance Company
CHET WAGGONER LL_
INSURER B:
National Union Fire insurance~ Company of
RAY SNYDER
S0611 LILAC RD
Nan-Liabilit
Pittsburgh, PA
INSURER C:
AIG Specialty Insurance Company
SOUTH BEND
IN 46628
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
-1NSR
ADD'L
NAMED
TYPE OF INSURANCE
POLICY NUMBER
._POLICYEFFECTIVE—
LIMITS
LTR
INSRO
DATE (MMlDDlYYYV)
DATE (MM100/YYYY)
GENERAL LIABILITY
EACH OCCURRENCE $ t ° CCC, 00
X
OCCURRENCE
GENERAL AGGREGATE
$2,i 000) 00
A
X
01.1.225B18
1l43l2017
1 /01 /2018
X
INCL PARTICIPANTS
Pf0 a Dama a Deductible: $250
p S
PRODUCTSICOMP OPS
AGGREGATE
+ 000 TOM
Sexual Abuse
OCCUR
$1 CCC CCC
X SEXUAL ABUSE
Sexual Muse
r 1OOO
AGGREGATE
MEDICAL PAYMENTS
Any one Person
EACH LOSS
$1,000,000
A
X
DIRECTORS & OFFICERS
182S 1 q 13
1! O 1 l201 7
1 i G 1! 2018
AGGREGATE
$1,000,000
C
X
CYBER LIABILITY COVERAGE
C 17601604 j / 0 1 % 201 7 1 / 01 /20 � C
LIMIT OF UABIDTY
CLAIMS MADE
PEREGATE
LEAGUE AGUE AGGRGR
A
S&P
SECURITY AND PRIVACY LIABILITY
$100,000 PER LEAGUE SUBLIMIT OF LIABILITY
RETROACTIVE DATE
CONTINUITY DATE
INSURANCE
$1,000 PER LEAGUE RETENTION
POLICY INCEPTION
POLICY INCEPTION
REGULATORY ACTION SUBLIMIT OF
$100,000 PER LEAGUE SUBLIMIT OF LIABILITY
LIABILITY
$1,000 PER LEAGUE RETENTION
ENE
$100,000 PER LEAGUE SUBLIMIT OF LIABILITY
NOT APPLICABLE
POLICY INCEPTION
EVENT MANAGEMENT INSURANCE
$1,000 PER LEAGUE RETENTION
A
X
011408720
1 /01 /201i
1/01 /2018
EACH LOSS
$35,000
CRIME COVERAGE
Crime Deductible: $250 Properly/$1,000 Money
AGGREGATE
NONE
As in Master Policy:
As in Master Policy
B
SPORTS EXCESS ACCIDENT
RG91,Oa434 1!01!'=1017 1i01!2J1
Med. Max. $100,000
Excess
Deductible $50
"X" INDICATESD
D
ADDITIONAL INSURED
Who is an Insured (SECTION H) of the General Liability policy is amended to include as an insured the person or organization shown in the schedule, but only with respect to
liability arising out of the above named Little League's maintenance or use Of ball fields, or other premises loaned, donated, or rented to that Little League by such person Or
organizations and subject to the following additional exclusions:
1. Structural alterations, new construction, maintenance, repair or demolition operations performed by or on behalf of the person or organization designated in the Schedule andlor
performed by the above named Little League; and
2. That part of the ball field or other premises not being used by the above named Little League.
NAME AND ADDRESS OF PERSON OR ORGANIZATION:
f.. CITY OF SOUTH BEND 2. HIGHLAND CEMETERY 3. CLAY TOWNSHIP
INSURED
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
Little League Baseball Risk Purchasing Group, Inc.
WITH THE POLICY PROVISIONS.. �.
539 U.S. RT.15 Highway
South Williamsport, PA 17702
AUTHORIZED REPRESENTATIVE 9 1„
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