Loading...
PROOF OF INSURANCE (2026)DATE (MMIDD/YYYY) ACORD­ CERTIFICATE OF LIABILITY INSURANCE 1 4/17/2025 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: If the certificate holder 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 endorsements . K&K INSURANCE GROUP, INC. WNJ,PA, a NAME: Hollie Lamle 1712 MAGNAVOX WAY FFRONE .................0-73' FAX 800-736-7358 847-953 2873 PO BOX 2338 AMC Nn ExtT IAfC No) FORT WAYNE IN 46801 EMAIL ADDRESS. @ .com hollie.lamle@kandkinsurance.com ._._ ._.. ..._._. INSURED _ V "..".."..".... INSURER(5)"AFFORDING COVERAGE NAIC MEMBER NO: INSURER A: New Hampshire Insurance Company 23B41 ........m_..... ._ B: INSURER ._ UW...... National nion Fire e Ins Co of Pittsburgh 19445 EL SEGUNDO BABE RUTH LEAGUE - � ®®®®®®®®®®® DBA: El Segundo Babe Ruth INSURER C: IN --------" """"""""""M 533 W Maple Ave INSURER D INSURER E: _. __... ..................... _ ......._ El Segundo, CA, 90245 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 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 LTR TYPE OF INS11 URANCE ADDL INSD SUBR WVD POLICY NUMBER ....................... POLICY EFF MM/DD/YYYY. POLICY EXP .. MM/DD LIMITS „-„ .................._, X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 4 F_,_ -mmmm_ CLAIMS -MADE X OCCUR 02/06/2025 02/01 /2026 0A; G 7_I,fI�F81"0_ PRMtl`f S IC' oc'cwr r P c°' .m„_ .............. $ 300 000 Y AIL0003450194703 12:01 AM 12:01 AM MED EXP(Any one person) ...._......... $ 5,000 ........................................... PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000.000 POLICY I PROJECT LOC ... PRODUCTS-COMP/OP AGG ..............- $2,000,000 OTHER: PARTICIPANT LEGAL LIABILITY $2,000,000 AUTOMOWL'E. LIABILITY COMBINED SINGLE L MIT $1.000,000 iEa Acadent,.),....................... ..._._ ANY AUTO BODILY INJURY (Per person) A "'""�-.........OWNED SCHEDULED AIL0003450194703 02/06/2025 02/01/2026 12:01 AM -'---'-'-'-'-'-.,�� BODILY INJURY (Per accident) AUTOS ONLY AUTOS 12:01 AMA ---------- HIRED NON -OWNED X Ix .AUTOS ONLY AUTOS ONLY "(Per accident UMBRELLA LIAB # OCCUR EACH OCCURRENCE ....... ....... EXCESS LIAB # CLAIMS -MADE .-...- AGGREGATE DED RETENTION WORKERS COMPENSATION Y / N PER OTHER STATUTE AND EMPLOYERS' LIABILITY ANY PROPRIETOIVPARTNEWEXECUTIVELl E.L. EACH ACCIDENT ,_,_ OFFICERIMEM'BERE:XCLUDED? N/A (Mandatory In NH) E.L. DISEASE- EA EMPLOYEE wf describe under """"""" m ......... nys DF SC RIPTICtiId OF OPERATIONS below . DISEASE- POLICY LIMIT b2/06/2025 ±AD&D Medical $25g000 """' B PARTICIPANT ACCIDENT AID0003450387000 12:01 AM =02/O02cess M $ 15,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if morespace is required) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, BUT SOLELY WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. Owner, manager or lessor of the premises where you conduct practices or games SEXUAL ABUSEIMOLESTATION: $1,000,000 PER OCCURRENCEI$2,000,000 AGGREGATE 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. City of El Segundo AUTHORIZED REPRESENTATIVE 350 Main St 1�4El Segundoo,, CA, 90245 -At4j ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD