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Home My WebLink AboutGilroy Little League - Insurance CertificateCERTIFICATE OF LIABILITY INSU Keystone Risk Managers, LLC 1995 Point Township give Northumberland, PA 17867 ADDITIONAL NAN® INSURED: GILROY LL 'ON CASTRO 7320 CARMEL STREET GILROY CA 95020 COVERAGES DATE a /12 6 CERTIFICATE # 4053903 -1 4 05 Sc? INSURERS AFFORDING COVERAGE: INSURER A. j LEXINGTON INSURANCE COMPANY INSURER B: NATIONAL UNION FIRE.INSURANCE (Non- Liabl111y) I COMPANY OF PITTSBURGH, PA INSURER C: AIG SPECIALTY INSURANCE COMPANY 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'TFf): POLICIES DESCRIBED HEREIN,IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVF RFFRU RCnR IC_Cn MV DAM ,+r A I.&. � R m=D TYPE OF INSURANCE - - . POLICY NUMBER POLICY.EFFECFI POLICYEXPRRAMON D LIMITS GENERAL LIABfLITY O°°�DY _. -. DATe INMIDDlYYYY X EACH OCCURRENCE $1, 000, 000 X OCCURRENCE 'GmEmAQCaiiE . -�2, 000, 000 01122SB14 1 /. 07/2016 1/01/2017 X INCL. PARTICIPANTS Pro Dama a Deductible: $250 P ` MPon $,_ Q�"tO, OOO X SEXUAL ABUSE g _,1000,000 QGR "� 2, 000, 040 MEDICAL PAYMENTS ANYONE DIRECTORS & OFFICERS EACH LOSS $1,000' 000 X 39330955 1/01/2016 1/01/2017 AGGREGATE $1,000,000 . CRIME COVERAGE EACH LOSS $35,000 Crime Deductible: SM Property/$1,o00 Money AGGREGATE NONE B SPORTS EXCESS ACCIDENT As � iny Master X SRG91OS434 1/41/2016 1/01/2017 PAs E D,a.350 Al uNun.r i ca GOO 5 SAGE aELEC I ED FOR ADDITIONAL NAMED;INSURED ADDITIONAL INSURED Who is an insured (SECTION 11) 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: t. Structural alterations, new construction, maintenance, repair or demolition operations performed by or on behalf of the perm or organization designated to the Schedule unless 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: 1. rIL.ROY L11NIFIED SCHOOL DISTRICT 2. C.iTY OF GILROY Little League Baseball Risk Purchasing Group, Inc. 539 U.S. RT.15 HIGHWAY South Williamsport, PA 17702 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED, POLICIES TO THE ABOVE NAMED LITTLE LEAGUE BE CANCELED BEFORE THE EXPIRATSON DATE THEREOF, THE ISSUING INSURER• OR THEIRREPRESEN7ATNE WILL MAIL 30 DAYS WRITTEN NOTICE TO THE DESIGNATED PERSON OR ORGANRATION AT THEIR KN ADD TO yt ENDORSEMENT THIS ENDORSEMENT EFFECTIVE: 1/01/2016 AT 12:01 AM FORMS A PART OF POLICY NO.: 011225814 ISSUED TO: LITTLE LEAGUE BASEBALL RISK PURCHASING GAOUP, INC. BY: LEXINGTON INSURANCE COMPANY TMS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY. ADDITIONAL INSUREDS This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART In consideration of an additional premium of $N /A it is hereby agreed the following are added as Additional Insureds. Co- promoters Sponsors Landlords City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Entertainers All other terms and conditions remain unchanged. But only to the extent that liability results from negligence of the Named Insured. -94 -a Z4� Authorized RepreiWntative 72984(4/99) CERTIFICATE OF LIABILITY INSURANCE DATE 1/21/11 Keystone Risk Managers, LLC CERTIFICATE # 4053903_2 1995 Point Township Drive Northumberland, PA 17867 4 OS 59 INSURERS AFFORDING COVERAGE: ADDITIONAL NAMED INSURED GILROY LL INSURER A: LEXINGTON INSURANCE COMPANY JEFF SOSA INSURER B: NATIONAL UNION FIRE INSURANCE 2$22 BIRKDALE CT (Non - Liability) COMPANY OF PITTSBURGH, PA GILROY CA 95020 INSURER C: CHARTIS SPECIALTY INSURANCE COMPANY 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. INSR LTR ADD'L INSAO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM0MYYYY POLICY EXPIRATION DATE MMIDDJYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1111 10 000, 000 X 9471908 1/01/2011 1 / 01! 2012 X OCCURRENCE GENERAL AGGREGATE $Z,000#000 X INCL, PARTICIPANTS Property Damage Deductible: $250 RR�AGGRSEGATE OFS $1$000,000 X SEXUALABUSE EX ALABUSE $1: 000, 000 SEXUALABUSE AGGREGATE 162r 000, 000 EACH LOSS $1,000,000 X DIRECTORS & OFFICERS 24214367 1/01/2011 1101 / 2012 AGGREGATE $1,000,000 X CRIME COVERAGE 010008405 1 1/01/2011 1/01/2012 EACH LOSS $35,000 Crime Deductible: $250 Property/$1,000 Money AGGREGATE NONE B X SPORTS EXCESS ACCIDENT SRG9105434 1101 / 2011 n �s 1 /0112012 As in Master Policy Med. Ded. $50 0� As in Master Policy EXCESS "X" INDICATES COVERAGE SELECTED FOR ADDITIONAL NAMED INSURED ADDITIONAL INSURED Who is an insured (SECTION 11) 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 unless 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: 1. GILROY UNIFIED SCHOOL DISTRICT 2. CITY OF GILROY INSURED CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES TO THE ABOVE NAMED LITTLE LEAGUE BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER OR THEIR REPRESFNTAT IVE WILL MAIL 30 DAYS WRITTEN NOTICE Little League Baseball Risk Purchasing Group, Inc. TO THE DESIGNATED PERSON OR ORGANIZATION AT THEIR Lt}S+TjKN ADDRES TO . 539 U.S. RT. 15 HIGHWAY South Williamsport, PA 17702 AUTHORIZED REPRESENTATI ENDORSEMENT THIS ENDORSEMENT EFFECTIVE: 01 /01 /11 AT 12:01 AM FORMS A PART OF POLICY NO.: 9471908 GILROY LITTLE LEAGUE 4053903 ISSUED TO: LITTLE LEAGUE BASEBALL RISK PURCHASING GROUP, INCORPORATED BY: LEXINGTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY. ADDITIONAL INSUREDS This endorsement modifies insurance under the following: CONBIERCIAL GENERAL LIABILITY COVERAGE PART In consideration of an additional premium of $N /A it is hereby agreed the following are added as Additional Insureds. Co- promoters Sponsors Landlords Entertainers ADDITIONAL INSURED(S) LISTED ON CERTIFICATE OF LIABILITY INSURANCE 2. CITY OF GILROY WHO IS INSURED (SECTION II) 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 TI.3E 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 UNLESS PERFORMED BY THE ABOVE NAME LITTLE LEAGUE AND 2. THAT PART OF THE BALL FIELD OR OTHER PREMISES NOT BEING USED BY THE ABOVE NAMED LITTLE LEAGUE All other terms and conditions remain unchanged. But only to tt�he, extent that liability results from negligence of the Named Insured. Authorized Representative 72984(4199) ENDORSEMENT # 4 THIS ENDORSEMENT EFFECTIVE: 01 /01 /11 AT 12:01 AM FORMS A PART OF POLICY NO.: 9471908 ISSUED TO: LITTLE LEAGUE BASEBALL RISK PURCHASING GROUP, INCORPORATED BY: LEXINGTON INSURANCE COMPANY IN CONSIDERATION OF THE PREMIUM CHARGED AT INCEPTION, IT IS HEREBY AGREED AND UNDERSTOOD THAT FORM 72984 4/99 "ADDITIONAL INSUREDS" IS AMENDED PER ATTACHED. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS OF THIS POLICY REMAIN UNCHANGED. Authorized Representative or Countersignature