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ACORD — CERTIFICATE OF LIABILITY INSURANCE | _ 8/3/2026
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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: [Ef the certificate hoider is an ADDITIONAL INSURED, the policy(ies} 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 on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER | a NAME: Robin Watson oa
Arthur J. Gallagher Risk Management Services, LLC PHO 416-847-8394 ‘| FAX
1 Corporate Drive, Suite 310 (AIG No Ext: 7 18-847- {AIG, No}:
Shelton CT 06484 ADDRESS: [email protected] _ oe .
INSURER(S} AFFORDING COVERAGE ; NAIC#
_ INSURERA: National Catholic RRG , Inc 18083
INSURED INSURER B :
Diocese of Buffalo
795 Main Street INSURER :
Buffalo, NY 14203-1250 INSURERD:
INSURERE :
INSURER F :
COVERAGES. CERTIFICATE NUMBER: 1838286082 _ REVISION NUMBER:
THIS 1S 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL|SUBR POLICYEFF | POLICY EXP UMITS |
LTR __. YPR OF INSURANCE INSD |WYD POLICY NUMBER (MMIDDYYYY} | (MMIDDIVYYY)
AIX someon [Kleene RRG-054-2026-1 7/1/2026 7/1/2027 =| EACHOCGCURRENCE __ $1,006,000 _
' |BAMAGE TO RENTED
CLAIMS-MADE |X | occur PREMISES (Ea occurrence) | $1,006,000
MED EXP (Any one person) § ;
_
a PERSONAL BADVINJURY | $1,000,000.
| GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE | _$None
X|poucy, [58% [| 0c PRODUCTS
- COMP/OP AGG | $ None
OTHER: 8
COMBINED SINGLE LIMIT §
[ AUTOMOBILE LIABILITY
ANY AUTO BODILY INJURY (Per person) $
| OWNED ONLY
AUTOS “77 SCHEBULED
AUTOS BODILY INJURY (Per accident) $
HIRI NON-OWNED PROPERTY DAMAGE $
|_| ALTOS ONLY AUTOS ONLY |_ {Per accident) _ jo.
_ . $
UMBRELLA LIAB OCCUR EACH OCCURRENCE |. a.
| EXCESS LIAB CLAIMS-MADE AGGREGATE | $
DED | | RETENTION S | _ _. {3
WORKERS COMPENSATION PER QTH-
AND EMPLOYERS* LIABILITY YIN STATUTE | ER
ANYPROPRIETOR/PARTNER/EXECUTIVE [yj E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? EN | NIA
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE:
aad
lf yes, describe under
.|DESCRIPTION.OF OPERATIONS below E.L. DISEASE - POLICY LIMIT. ee
>
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Reniarks Schedule, may be attached if more space is required)
Additional Insured Status for any Persons with whom the Named Insured has agreed to provide Insurance
Protection. Insurance Shall Not exceed Amount agreed Upon or Exceed Policy Limits Provided by this
Policy. The Limit is Inclusive of the Insured's $250,000 Self Insured Retention.
RE: Immaculate Conception Soccer at dates and timés agreed upon.
‘CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WiLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Town of Aurora
575 Oakwood Avenue AUTGRIZED Go ENTATIVE
East Aurora, NY 14052 "Galllighor Ruk Management: Services, LLC
L
© 1988-2015 ACORD CORPORATION. Ail rights reserved.
ACORD 25 (2016/03) The ACORD name and ogo are registered marks of ACORD