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ACCORD DATE (MMIDDIYYYY}
\enener
CERTIFICATE OF LIABILITY INSURANCE 04/28/2026
THIS CERTIFICATE {S$ ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE GERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policyfies) must have ADDITIONAL INSURED provisions or be endorsed.
if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement ov
this certificate does nof confer rights to the certificate holder in lieu of such endorsement{s).
PRODUCER CONTACT
NEW YORK SCHOOLS INSURANCE RECIPROCAL SHONE PFAX
333 Earle Ovington Bivd, ro 7 aa AAC NEN,
Uniondale NY,11553 | ADDRESS...
INSURERIS) AFFORDING COVERAGE NAIG #
_ _Linsurer 4, New York Schools Insurance Reciprocal 34343
INSURED NSURERB:
Holland CSD
193 Canada Street ' NSURERS SE :
MURR --
Holland, NY 44680 ANSURER D 3
L.ANSURERE : :
INSURER : i
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLIGIES 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 i$ SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI CLAIMS,
TYPE OF INSURANCE
ADULSUSR, i
iNSD |WD _ POLICY NUMBER (RUDDY) qanuDpen LiMETS
A COMMERCIAL GENERAL LIABILITY x SSP HOL 001 07/01/2026 : 07/01/2026 BACH OCCURRENCE $1,000,000
X |_| i ChamsMape
, ry d
|X | occur Y
PREMISES
DAMAGE
16 RENTED
(Ea pecurrence)_; $1,000,000
— MED EXP (Any one person) $10,006
— PERSONAL & ADV iNsuRY | $1,000,000
.GEN'L AGGREGATE LIMIT APPLIES PER: : GENERAL AGGREGATE $3,000,000
Kiroucy! j5BS | iioc _ PRODUCTS
- CoMPIOP AGG | $1,000,000
OTHER: $s
AUTOMOMLE LIABILITY COMBINED SINGLE CIMT
"PANY AUTO BODILY INJURY (Per person) | $
— ; AUTOS ONLY i E AOS ; ROBERT BME $
pg fA P DAMAGE
sound AUTOS ONLY |__| AUTOS ONLY [Per accident} §
i
A;
—
| UMaREWALIAB
— |X | occur ECL HOL 004
: !
"07/01/2025 | 07/01/2026 ' ach OCCURRENCE $19,000,000
X | EXCESS LIAB CLAIMS-MADE | AGGREGATE $20,000,000
ery
DED | | RETENTIONS . _ $
WORKERS COMPENSATION : PER.) OT
AND EMPLOYERS" LIAGY ITY VIN] ; LSTATUTE § LER
ANYPROPRIETORIPARTNERIEXECUTIVE } : j '
OFFICERIMEMBEREXGLUDED? | NIA saiiniiauinisaaiaies =
(MandatoryinNH} : GL. DISEASE - EA EMPLOYEE! §
if yes, deserlba under :
DESCRIPTION OF OPERATIONS below | $.L. DISEASE - POLICY UMIT | §
:
i .
DESCRIPTION OF OPERATIONS | LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If nvore Space ts required}
Certificate Holderis an Additional insured as per the terms stated on Additional insured Endorsement CG 20 26 04 13 — use of premisesifacilities for District's
field frip(s} during the policy period.
CERTIFICATE HOLDER CANCELLATION
Town of Aurora
&§75 Oakwood Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
East Aurora, NY 14052 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED iN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE Pg
[an
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