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ACORD™ CERTIFICATE OF LIABILITY INSURANCE ___.. [= tugorerm
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE GERTIFICATE HOLDER. THIS
CERTIFICATE BOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certliicate holder fs an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
lf SUBROGATION IS WAIVED, subject to the terms and condlitlons of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER
K&K INSURANCE GROUP, INO. CONTACT pita Bliss
PO BOX 2338 PHONE Fr FAX
FORT WAYNE iN 46801 (AG, No. Exp: 800-736-7358 (AiG, No):
: : EAEss, anita [email protected]
INSURED INSGRER(S) AFFORDING COVERAGE NAIC #
MEMBER NO: INSURER A: New HampshireInsurance Company _ 23841
EAST AURORWHOLLAND YOUTH BABE RUTH LEAGUE er Ret &: National Union Fire ins Co of Prfsburgh | 19445
DBA: East Aurora Holland Babe Ruth League INSURER Dy
428 South Street , East Aurora, NY 14052 INSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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 DOGUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN {S SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS GF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUGED BY PAID CLAIMS,
ine
NER TYPE OF INSURANCE ADECISUBR’
ROOT MER] poucynumBer POLICYEFF
| money ee, || canon
POLICY EXE : LIMITS
X [COMMERCIAL GENERAL LIABILITY BACH OCCURRENCE $1,090,000
A _Jotams-maDe PREMISES (ee orstinance) $1,000,000
: MED EXP (Any one person) $ 5,000
All.0003450194704 | 2/27/2026 | 2/4/2027 | PERSONAL & ADV INJURY $7,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: T201AM | 12:01AM | GENERAL AGGREGATE $5,000,000
poucy [~ |prouect [~ |uoc PRODUCTS-COMP/OPAGS | $1,000,000
OTHER: ; PARTICIPANT LEGAL LIABILITY | $1,000,000
AUTOMOBILE LIABILITY GOREINED SINGLE OMIT $1,000,000
ANY AUTO . BODILY ARUURY (Per person)
A TRHNEP oy — San AlLoo0a480184704 arerianes | 2027 [RoDILy wNJURY Per aclder)
[xc] HIRED. X | NON-OWNED 3 20 [PROPERTY DAMAGE
AUTOSONLY LX | AUTOS ONLY. (Par accidents
UMBRELLA LIAB [# [OCCUR EACH OGGURRENCE
EXCESS LIAB # | CLAIMS-MADE AGGREGATE
pep |_| RETENTION zy
WORKERS COMPENSATION : EER |
Serie
OFFICERIMEMBER EXCLUDED’
eccme | Nita octet
EL. BAC! A ACCIDENT oa, PE
(Mandatory in Nt) EL, DIBEASE— EA EMPLOYEE
IFyes, descrbe und
SSGRIPTION OF OPERATIONS below £.L DISEASE— POLICY LIMIT
5 [PARTICIPANT ACCIDENT AspoooGoBBSs5-00 | 2e7/2028 | 2/2027 Excess Medical $250,000
i20tAM | 1201AM [Apap $ 15000
DESCRIPTION OF OPERATIONS / LOGATIONS / VEHICLES (AGORD 104, Additional Rethurke Schedule, may be attachad If more space ia aquired)
ADDITIONAL INSURED: ANY PERSON, ORGANIZATION OR ENTITY WHO iS ENGAGED IN PROVIDING THE PREMISES, IS A SPONSOR OR CO-PROMOTER, BUT SOLELY WITH RESPEGT TO
THE OPERATIONS OF THE NAMED INSIRED.
SEXUAL ABUSE/MOLESTATION: $1,000,000 PER OCCURRENCE/$3,000,000 AGGREGATE
CERTIFICATE HOLDER . CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
B § Coverage THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
denne of Coverng ACCORDANCE WITH THE POLICY PROVISIONS.
Town of Aurora AUTHORIZED REPRESENTATIVE,
575 Oakwood Ave , East Aurora, NY 14052
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION, All rights reserved,
The AGORD name and loge are registered marks of ACORD