CERTIFICATE OF LIABILITY INSURANCE (4) -
--- --
PA 117867
CI__E_,4,'RWATER f-1- INSURER A: LEXINGTON INSURANCE COMPAN
INSURER B: NATIONAL UNION FIRE INSURANC,
(Non-Liability) COMPANY OF PITTSBURGH, PA
INSURER CHAR.
IN SURANCE COMPANY
VM������
THE POLICIES o-.NSuH"iNGEuSTED BELOW HAVE BEEN ISSUED m THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTVVI/HS�m�`w.
ANIY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE IsuueoonmA
PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND-ItONDITIONS OF
P ouo/ca AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED s,PAID CLAIMS.
iTR NsR01 TYPE OF INSURANCE POLICY NUMBER DATE FECTIVE ."ON
GENERAL LIABILITY EACH OCCURRENCE $11
X I INCIL.PARTICIPANTS Property Damage Deductible:$250 PRODUCTSWIAP 01 .1
AGGREGATE $
XUALABUsE
PER
EACH LOSS $1,000,00C,
AGGREGAT
EACH LOSS $35,000
CRIME COVERAGE
Crime Deductible:$250 Property/$1,000 Money AGGREGATE NONE
As in Master Polfcv As in Masier
SPORTS EXCESS ACCIDENT
Med.Max.S 100.060
^x''|no|cxTEa COVERAGE SELECTED FOR ADDITIONAL NAMED INSURED
ADDITIONAL INSURED
Who is an insured(SECTION 11)of the General LiBb.ility policy is amended to include as an insured the person or organization shown in the schedule,but only with respecl 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 uv such v*mu' o.
organ/za-/voc and subject m the following additional exclusions:
1 Sinuctural alterations,new construction,maintenance,repair or demolition operations performed by or on behalf of the person or organization designated in the SchedUie U;110Ss
'ew,mouuv the above named Little League and
z That part of the ball field or other prernises not being used by the above narned Little League
NAME AND ADDRESS or PERSON onORGANIZATION:
� �F E RW Y
�L � W�T�� 2 PIm��LAS C�U�T
'
_-- -
SHOJLD ANY OF THE ABOVE DESCRIBED POLICIES-TlCrTHF-A,34�,N MEQ i ITTLE LEAGUE BE CANCELED_REPORF
Li4le League Baseball Risk Purchasing Group, Inc. EXPIRA-ON DATE THERPOF,THE ISSUING INSURER OR THEIR REPRES_eNTATIVE WiLL MAIL 3'UDAYS%YRnTEN NI
TO THE DESIGNATED PE=ISON OR ORGANIZA-1 ION AT THEIR N?ff1JjKDDRE!�',,TOW9
South Wliiramspod., PA 1-11702
AUTHORIZED REPRESENTATUV�E