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PROOF OF INSURANCE (2026)
7 0 DATE (MM/DD/YYYY) oil >R" CERTIFICATE OF LIABILITY INSURANCE 2/14/2025 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 . PRODUCER CONTACT.....David Irwin NEE, Y 9 PHIAL d� Extl� 570 473 2150 ................._.._.. [ N9: ( 73-21m51 Keystone Risk Managers, LLC ( ) Lp_ 1995 Point Township Drive E-MAIL Dlrwin Ke stoneins r com P ADDRF$$ @ Y 9 P• INSURER(S) AFFORDING COVERAGE NAIC # ..._�....... Northumberland PA 17867 Interstate Fire & Casualty Company INSURERA: Inte 22829 mm INSURED '.. INSURER B ... Little League Baseball Risk Purchasing Group, Incorporated INSURERc.."""" EL SEGUNDO LL INSURER p " ........... ... _.......... 13823 Truro Ave INSURER E : ........................ ,. ............. ,. Hawthorne CA 90250 INSURER E : 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. .........,. __.. 1LLITSRR TYPE OF INSURANCE ADOL SUaR POLICY NUMBER _ _.. _ ... IPOLICYIYYl POLICY CY EXP LIMITS "" COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE FRI OCCUR PREMI$E;5 („Ea"oocurrenG $ 300,000 MED EXP (A one person) $ Excludedmmmm A X X UST030987250 01/01/2025 01/01/2026 PERSONAL&ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGG"RELATE $ 2 000 000 -GEN'L POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG .. $ mm.. 2,000,000 X OTHCR.. Per League SEXUAL ABUSE OCC/AGG $ 1 M/$1 M �G`CJMM'BVNE9'�VNGLE %.. MIT $g�""" AUTOMOBILE LIABILITY a aNED _........... ....."""""_,_ ANY AUTO BODILY INJURY (Per person) $ OWNED '.. SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY �,. AUTOS HIRED NON -OWNED ""PROPI R7_V'DA%1A�"9 . .,$_. AUTOS ONLY '.. AUTOS ONLY -IP'er ockdx�ph) -- --- --••••••••• UMBRELLALWB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE wAGGREGATE _ .... DED RETENTION $ $ ER P OI- WORKERS COMPENSATION STATUTE ERH AND EMPLOYERS'LIABILITY YIN.. ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/A E L EACH ACCIDENT $ mm (Mandatory in NH) E L DISEASE - EA EMPLOYEE „.... ..-", mm � .„...-- If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is named as Additional Insured per form CG 2026 (12/19) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo, Its Officers, Officials, Employees, Agents and Certified THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Volunteers 401 Sheldon St. AUTHORIZED REPRES IVE ElSegundo CA 90245 ovr�t ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ""' � DATE (MM/DDNY) CERTIFICATE OF INSURANCE 02/14/25 ............_� _ _. PRODUCER CERTIFICATE #: 4053601 2025-3 4 05 36 Keystone Risk Managers, LLC 1995 Point Township Drive Northumberland, PA 17867 INSURERS AFFORDING COVERAGE: ___....... __ .. ADDITIONAL NAMED INSURED: ... INSURER A: Interstate Fire & Casual Com an. EL SEGUNDO LL INSURER B: National Union Fire Insurance Company of 13823 Truro Ave Non-Liabilit Pittsbur h, PA Hawthorne, CA 90250 """��-�"'m'-`-- INSURER C: AIG Specialty Insurance Company INSURER D: Markel American Insurance Com aa� 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SUBJECT TO $5,000,000 AGGREGATE SUBLIMIT OF LIABILITY FOR ALL LEAGUES, COMBINED, UNDER THE MASTER D&O POLICY, FOR ALL LOSS ARISING FROM ALL CLASS ACTION CLAIMS AND COMMON LEAGUE CLAIMS, AS MORE FULLY DESCRIBED IN ENDORSEMENT #31 OF THE MASTER D&O POLICY. " SUBJECT TO $5,000,000 AGGREGATE SUBLIMIT OF LIABILITY FOR ALL LEAGUES, COMBINED, UNDER THE MASTER CYBER POLICY, FOR SPECIFIED DEFENSE COSTS, AS MORE FULLY DESCRIBED IN ENDORSEMENT #14 OF THE MASTER CYBER POLICY. _ INSR NNSRD TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDCT/Y EFFECTIVE EXPIRAAT ON LIMITS .... POLICY TE ADD'L MrrS AMEDMMIDD A X GENERAL LIABILITY UST030987250 01/01/2025 01/01/2026 EACH OCCURRENCE $2,000,000 X OCCURRENCE GENERAL AGGREGATE $2,000,000 .......... ......_ _._ .......�..... INCL PARTICIPANTS Pro ert Damage Deductible: $250 PRODUCTS/COMP OPS $2 000,000 X Y P g AGGREGATE -- SexualAbuse $1,000,000 X SEXUALABUSE _.. OCCURRENCE �L_ Sexual Abuse AGGREGATE $1,000,000 MEDICAL PAYMENTS Any One Person C X 016033012 01/01/2025 01/01/2026 EACH Loss $1,000,000* DIRECTORS & OFFICERS AGGREGATE $1,000,000 C X CYBER LIABILITY 017011565 01/01/2025 01/01/2026 LIMIT OF LIABILITY '.. $100,000 PER LEAGUE COVERAGE CLAIMS MADE AGGREGATE S&P SECURITY AND PRIVACY LIABILITY $100,000 PER LEAGUE SUBLIMIT OF LIABILITY" RETROACTIVE DATE CONTINUITY DATE INSURANCE $1,000 PER LEAGUE RETENTION POLICY INCEPTION POLICY INCEPTION REGULATORY ACTION SUBLIMIT $100,000 PER LEAGUE SUBLIMIT OF LIABILITY OF LIABILITY $1.,000 PER LEAGUE RETENTION EM _ $100,000 PER ILEAGUE SUBLIMIT OF LIABILITY— NOT APPLICABLE POLICY INCEPTION EVENT MANAGEMENT INSURANCE $1,000 PER LEAGUE RETENTION D X INLAND MARINE/PROPERTY MKLM71M0055290 01/01/2025 01/01/2026 EACH LOSS $35,000 FLOATER Deductible: $500 A X CRIME UST030998250 01/01/2025 01/01/2026 EACH LOSS $35,000 Deductible: $1,000 As in Master Policy: As in Master Policy B X SPORTS EXCESS ACCIDENT SRG9105434 1 01/01/2025 01/01/2026 Med. Max. $100,000 Excess Deductible $50 "X" INDICATES COVERAGE(S) SELECTED FOR ADDITIONAL NAMED INSURED ..................... . ....... .... _....-,. ...--. ww............ ADDITIONAL INSURED Who is an Insured (SECTION 11) of the General Liability policy is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability arWng out of the above -roamed Little League"s maintenance or use of ball fields, or other premises loaned, donated, or rented to that Little League by such person or organizations and subject to the following additional exclusions. 1, Structural alterations„ new construction, maintenance repair, or demolition operations performed by or on behalf of the person or organization designated in the Schedule and/or performed by the above -named Little League; and 2. That part of the ball field or other promises not being used by the above -named Little League, _ NAME AND ADDRESS OF PERSON OR ORGANIZATION: 1. City of El Segundo, Its Officers, Officials, Employees, Agents and Certified Volunteers 2. El Segundo Unified School District (High School, Middle School, Center Street School) 3. Raytheon Company, RTX ...... .. INSURED CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH Little League Baseball Risk Purchasing Group, Incorporated THE POLICY PROVISION 539 U.S. RT. 15 Highway South Williamsport, PA 17702 ' AUTHORIZED ,. 'PRESF..NTA1"NYE POLICY NUMBER: UST030987250 COMMERCIAL GENERAL LIABILITY CG20261219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or City of El Segundo, Its Officers, Officials, Employees, Agents and Certified Volunteers 401 Sheldon St. El Segundo, CA 90245 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III —Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 26 12 19 © Insurance Services Office,Inc., 2018 Page 1 of 1 POLICY NUMBER: UST030987250 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER SFE R OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: City of El Segundo, Its Officers, Officials, Employees, Agents and Certified Volunteers 401 Sheldon St. El Segundo, CA 90245 Information required to complete this Schedule, if not shown above, will be shown in the Declarations, The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or 'Your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 13 POLICY NUMBER: UST030987250 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 0. _f� I Lei =11401 0 114 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1