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CERTIFICATE OF LIABILITY INSURANCE DATE Y)
<br /> 12/16/16
<br /> PRODUCER CERTIFICATE#:
<br /> Keystone Risk Managers, LLC 4470110-1 4 47 01
<br /> 1995 Point Township Drive
<br /> Northumberland, PA 17867 INSURERS AFFORDING COVERAGE:
<br /> ADDITIONAL NAMED INSURED: INSURER A: Lexington Insurance Company
<br /> EVERETT LL INSURER B: National Union Fire Insurance Company of
<br /> BOB HARNS (Non-Liabil y) Pittsburgh, PA
<br /> 7728 SOPER HILL RD INSURER C: AIG Specialty Insurance Company
<br /> LAKE STEVENS WA 98258
<br /> COVERAGES
<br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
<br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br /> PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION UMfrS
<br /> LTR NAMED TYPE OF INSURANCE POLICY NUMBER DATE(MWDD/YYYY) DATE(MM/DD/YYYY)
<br /> INSRD
<br /> _ GENERAL LIABILITY EACH OCCURRENCE LIABILITY —
<br /> TY 1, 000, 000
<br /> A X X OCCURRENCE 011225818 1/01 /2017 1/01/2018 GENERAL AGGREGATE $2. 040, 000
<br /> X INCL PARTICIPANTS Property Damage Deductible:$250 PRODUCTS/COMPAGGREGATE OPS �, 000, 000
<br /> Sexual Abuse
<br /> OCCURRENCE $1, 000. 000
<br /> X
<br /> SEXUAL ABUSE Sexual Abuse $2, 000, 000
<br /> AGGREGATE
<br /> MEDICAL PAYMENTS Any One Person
<br /> EACH LOSS $1,000,000
<br /> A X DIRECTORS&OFFICERS 18251913 1/01/2017, 1/01/2018 AGGREGATE $1,000,000
<br /> CYBER LIABILITY COVERAGE LIMIT OF LIABILITY $100,000 PER
<br /> A }; 017601604 1/01/2017 1/01/2018 CLAIMS MADE LEAGUE AGGREGATE
<br /> S&P SECURITY AND PRIVACY LIABILITY $100,000 PER LEAGUE SUBLIMIT OF LIABILITY RETROACTIVE DATE CONTINUITY DATE
<br /> INSURANCE $1,000 PER LEAGUE RETENTION
<br /> POLICY INCEPTION POLICY INCEPTION
<br /> REGULATORY ACTION SUBLIMIT OF $100,000 PER LEAGUE SUBLIMIT OF LIABILITY
<br /> LIABILITY $1,000 PER LEAGUE RETENTION
<br /> EM $100,000 PER LEAGUE SUBLIMIT OF LIABILITY NOT APPLICABLE POLICY INCEPTION
<br /> EVENT MANAGEMENT INSURANCE $1,000 PER LEAGUE RETENTION
<br /> A X 011408720 1/01/2017 1/01/2018 EACH LOSS $35,000
<br /> CRIME COVERAGE
<br /> Crime Deductible:$250 Property/$1,000 Money AGGREGATE NONE
<br /> As in Master Policy: As in Master Policy
<br /> SPORTS EXCESS ACCIDENT Med.Max.$100,000 Excess
<br /> B X SRG9105484 1/01/2017 1/01/2018 Deductible $50
<br /> "X"INDICATES COVERAGES}SELECTED FOR ADDITIONAL NAMED INSURED
<br /> ADDITIONAL INSURED
<br /> Who is an 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
<br /> 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
<br /> organizations and subject to the following additional exclusions:
<br /> 1.Structural alterations,new construction,maintenance,repair or demolition operations performed by or on behalf of the person or organization designated in the Schedule and/or
<br /> performed by the above named Little League;and
<br /> 2. That part of the ball field or other premises not being used by the above named Little League.
<br /> NAME AND ADDRESS OF PERSON OR ORGANIZATION:
<br /> 1. CITY OF EVERETT, ITS OFFICERS, EMPLOYEES AND AGENTS 2. EVERETT SCHOOL
<br /> DISTRICT #1 3. EVERETT PARKS AND RECREATION DEPARTMENT, ITS OFFICERS,
<br /> EMPLOYEES AND AGENTS 4. SOUTH EVERETT LIONS CLUB
<br /> INSURED CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE
<br /> Little League Baseball Risk Purchasing Group, Inc. WITH THE POLICY PROVISIONS..
<br /> 539 U.S. RT.15 Highway /2/:;7' ,//1//7/
<br /> +
<br /> South Williamsport,PA 17702 ,,� a-3
<br /> AUTHORIZED REPRESENTATIVE ! " " ,,j
<br />
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