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Home My WebLink AboutCertificate of Insurance�_ �.�r� r iriVw� t UF LIABIUTY INSURANCE Keystone Risk Managers, LLC 1995 Point Township Drive Northumberland, PA 17867 AoDI7iONAl NAME61NSlAiED: SEHA8TIAN RIVER AREA l...L JQ—ANN WEBSTER 765 WEN?'WORTH ST s�sas�iAN �'L 32956 DATE i2/16/li CERTIFICA7E # �p917Q 1— i 3 09 17 INSURERS AFFORDING COVERAGE: INSIJRER A: LEXIIYGTON IMSURANCE COMPANY tNSURER B: NAtIONAL UNION FIRE INSURANCE (Non-Liabiliry) COMPANY OF PIITSBURGH, PA INSURER C: CHARTIS SPECIALTY INSURANCE COMPANY COVERAGES THE POLICIES OF �NSURANCE LISTED SEIOW HAVE BEEN iSSUED TO THE INSUREO NAMED ABOVE FOR THE POLICYPERIOD fNbICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITfON OF ANY CbNTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE 15SUED OR MAY PERTAIN, FHE INSURANCE AFFORDED 8Y 7HE POLICIES DESCAIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCWSIQNS AN� CONDITIONS OF SUCH POLJCIES. AGGREGATE LtMITS SHOWN MAY HAVE BEEN REDUCED 9Y PAID GLAlMS. �„� TYPE OF INSURANCE POLlCY NUMBER ��Y EFFECTIVE pp�y �p�qAP� DATE MIWDOIYyyy OATE MAAIDD/YyYy UMITS GENERAL LIABILITY A X X OCCURRENCE 9472464 1/ Q 1/ 20I � 1/O 1/ZO 13 �CN �UHfiENCE , , � GENERALAGGqEGATE + s X INCL. PARTICIPANTS p�.�..�.a, n�.....__ n_�..�,��__ ..._ __ _ AI X AI X XISEXUALABUSE MEDIGAL PAYMENTS DlRECTORS & QFFICERS CRIME COVERAGE 24214367 014008411 1101/2p12 2/Oi/24i� EACH LOSS 1/Oi/207,3 AGGREGATE i ioi iao13 EACH LOSS ••• i ••• • �� e - �� . �� Crime Deductible: $250 Property/g1,000 Money AGGREGATE NONE 3 X SPORTS EXCESS ACCIOENT SRQ9! 05434 �� Mester PoACy As in Master ��D i�a�� 12 � io i iao i 3 �d. Mex. 5�00,000 paliCy ExC6Se "X" INDICATES COVERAGE SELECTED FOR ADDI110NA1 NAMED INStIRED ��• S50 ADDITIOfVAL INSURED Who is an insured (SEGTION II) of the General Liability policy fs amended to indude as an insured the person or organization show� in the scheduls, but only with respect to liabiliry arising out of the above named Lirile League's maintenance or use of bafl fields, or other premises loaned, donated, or rented to that Littla League by such person or organizat+ons and subject to the Following additio�el exdusbns_ 1. Structural akerations, new construction, maintenance, repair or damolition operations performed by or on behaU of the person or organization designated in the Schedule unless performed by the above named Little League and 2. That part ol the ball field or other premi5es not being used by the above named L'tttle League NAME AND ADDRESS OF PERSON OR ORGANIZATION: . CITY OF SEHASTIAN �. INDIAN RIVER C�UNTY DOARD QF EDUCATION 3. INDIAN RIVER COUNTY INSU Littte League Bas�all Risk Purchasing Group, Inc. 539 U.5. RT.15 HIGHWAY South Williamsport, PA 17702 CANCELLA't10N SHOULD ANY OF THE ABOVE DESCRIBEB POLICIES TO TH� A6pyE NAMED UiYLE LEA(3UE eE CqNCELED 9EFORE THE EXPIRATION DATE THEREOF, THE ISSUING fN9URER QR THEIR ATIVE WILL MAIL 30 DAYS WRfTTEN NOTICE TOTFIEDESIGNATEDPERSONOqpRGArvIZqTroNqTTHEIR�K�qDDq. T i' , -. ' !� !� :, -• ...�...•.:�'�;- CEF Keys1 1995 Norti ADOITIONAL NAMED FICATE OF LIABILITY INSURANCE � Risk Managers, LLC nt Township Drive �berland, PA 17867 .:� 1:: !:3 �1 •'.•� 7:!: t1 i��t 12:.l:'U 4::: li A:I� C-' Fl L.: L» .J Cl.... Fl t�i ht WG:: I:; ;ii T' L. f� lF�� W��dT4JC.i'f�l i�( �l" . ;31�:k3(lw;l�:t (-1lW. �"L•.. ;;�•:� "�;'i€3 vvv�nnurv - � , . THE POLICIES 0� INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB� ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE; PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO '; POLICIES. AGGR.�GATE IIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �INSR Aoo•L �� POLICYEFFECTIVE � �TR INSRO TYPE OF INSURANCE POLICY NUMBER ppTE MMlDD/YYYY GENERAL LIABILITY .. �`; X OOCURRENCE �� 7':f. �d:?.7 �..l�J�t:,.!':? ti�'L [7 i X INGL. PARTICIPANTS Property Damage Deductible: $250 ; I � X SExUALABUSE DATE CERTIFICATE # w q�71. rS>:1.•••• 1. :3 i) "� :t. '� INSURERS AFFORDING COVERAGE: INSURER A: �LEXINGTON INSURANCE COMPANY INSURER B: NATIONAL UNION FIRE INSURANCE (Non-Liability) COMPANY OF P17TSBURGH, PA INSURER C: I LANDMARK INSURANCE COMPANY FOR THE POLICY PERIOD 1NDICATED NOTWITHSTANDING CT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY _ THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH OLICY EXPIRATION LIMITS 7ATE MM/DD/YYW EAGi OCCURRENCE !(: :I. ,, {} t� (7 ; (�:5 (3 �:I.:1 L:�.�..l.'� i��:.I.'.x. GENERAL AGGREOATE `I> ;: �(�S {) C� +:? �.i Ci �{ I DIRECTORS & OFFICERS I .:2�4:.x''.':L�',"•3'4)! �,.. ,1:;l:p'.J..%.�?(.}:lq I I.:I../U:L�/'a•iq.'l::l � (j� ,Y,,. (? ]: C� �? 0£� w3,�� i;z.. �:.� C11:. �;y;�:(? �..Si COVERAGE , . . Crime Deductibie: $250 Property/$1,000 Money B II SPiRTS EXCESS ACCIDENT I I I y ;: s;:c��;a. �;:s�;:�� :�:.✓�cj �. r �z� �. � "X" INDICAT�S COVERAGE SELECTED FOR ADDI710NAL NAMED INSURED ADDITIONAL INSURED : Who is an insur�d (SECTION II) of the General Liabiliiy poiicy is amended to inciude as an tnsured the pei liabilfry arising o t of the ebove named Little League's maintenance or use ot ball fields, or other premises organizations a�d subject to the follow(ng additionfll exclusions: 1. Structural alte�rations, new construction, maintenance, repair or demolitlon operations performed by or on b� pertormed by th'g above named Little Leagus and 2. That part ot tj�e balt field or other premises not being used by the above named Little League � NAME AND ADDRESS OF PERSON OR ORGAP EACH LOSS AGGREGATE �:. �•�. � � x�:t).�. � EACH LOSS • . _. AGGREGATE. Aa in Master Policy :i. •i �) �% � x.� � .�. 1. Med. Max. �100�000 oea. aso �1. , J�r) , i3(?t? �G .i. , 0 'ti c7 , {5 {y U `�>:'. , �.i () {3 , t3 {? t? $1,000,000 $1,000,000 $35,000 NONE As in Master Policy Excess or organization shown in the schedule, but only with respect to ied, donated, or rented to that Lfttle Leagus by such person or of �the person or organizatlon designated in the Schedule unless I :i,.� G;•Y:'1'Y ;�c�r� ��::r:�n�:.�t�:r�:n.� �>:,� :��r.�;x�ntiv t��a°t.�;4�? �C):t:1.N"G`(� l•;:C1�t.F{.I:YI r?.s�-� �=:r.�.c:�.r:.�:-r�x�ca:� ,:�.�� :cr��xar� C�T.t,J1::P. ��t.l��; Y . INSURED 'I CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED I Little League Baseball Risk Purchasing Group� �t1C. EXPIRATION DATE THEREOF, THE ISSUING TO THE DESIGNATED PERSON OR ORGANI 539 U.S. RT.;15 HIGHWAY South Wiiliamsport, PA 17702 _ S.�,T�F� ABOVE NAMED UTRE LEAOUE BE CANCELED 9EFORE THE :Fl OR THEIP F�FF#€SE'RTATIVE WIL'L•MAIL 30 DAYS WRIlTEN NOTICE AT THEIR U�„Sj Kyp04I� ADDRESS TO US. .is:,;;. .,.H,N,...�... � �