MAGNOLIA CENTER LL NICHOLE BUZOFF

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CERTIFICATE OF LIABILITY INSURANCE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY DATE01 //09/19 9/19Y) PRODUCER CERTIFICATE #: 4052411-2019-1 4 05 24 Keystone Risk Managers, LLC TYPE OF INSURANCE POLICY NUMBER 1995 Point Township Drive POLICY EXPIRATION LIMITS Northumberland, PA 17867 INSURERS AFFORDING COVERAGE: ADDITIONAL NAMED INSURED: INSURER A: Lexington Insurance Company MAGNOLIA CENTER LL INSURER B: National Union Fire Insurance Company of Nichole Buzoff (Non -Liability) Pittsburgh, PA 7969 Shadow Trails Ln Riverside, CA 92509 INSURER C: AIG Specialty Insurance Company $1,000,000 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 ADD'L NAMED TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD DATE (MM/DD/YYYY) DATE (MM/DD/YYYY) $1,000,000 GENERAL LIABILITY EACH OCCURRENCE 011225826 01/05/2019 01/01/2020 XOCCURRENCE $2,000,000 A X GENERAL AGGREGATE X INCL PARTICIPANTS Pro Deductible: $250 Property a 9 p y Dama PRODUCTS/COMP OPS $1,000,000 AGGREGATE Sexual Abuse $1,000,000 X SEXUAL ABUSE OCCURRENCE Sexual Abuse-- $2 000,000 APPROVED AGGREGATE MEDICAL PAYMENTS Any One Person EACH LOSS $1,000,000 A X DIRECTORS & OFFICERS 019329346 01/01/2019 01/01/2020 AGGREGATE $1,000,000 C X CYBER LIABILITY COVERAGE 19326190 01/01/2019 01/01/2020 LIMITOF LIABILITY $100,000 PER ADE LEAGUE AGGREGATE 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 EM $100,000 PER LEAGUE SUBLIMIT OF LIABILITY NOT APPLICABLE POLICY INCEPTION EVENT MANAGEMENT INSURANCE $1,000 PER LEAGUE RETENTION 011408726 01/01/2019 01/01/2020 EACH LOSS $35,000 A X CRIME COVERAGE Crime Deductible: $250 Property/$1,000 Money AGGREGATE NONE As in Master Policy: B X SPORTS EXCESS ACCIDENT SRG9105434 01/01/2019 01/01/2020 Med. Max. $100,000 As in Master Policy Deductible $50 Excess INDICATES COVERAGES SELECTED FOR ADDITIONAL NAMED INSURED ADDITIONAL INSURED 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 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 and/or 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. City of Riverside 2. Riverside Medical Clinic 3. Riverside Unified School District 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, Incorporated WITH THE: POLICY PROVI NS. 539 U.S. RT. 15 Highway South Williamsport, PA 17702 / AUTHORIZED VEPRIESENTATIVE