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HomeMy WebLinkAboutLos Altos American LL 02.08.2026CERTIFICATE OF INSURANCE DATE (MM/DD/YY) PRODUCER Keystone Risk Managers, LLC 1215 Manor Drive, Suite 208 Mechanicsburg, PA 17055 CERTIFICATE #: INSURERS AFFORDING COVERAGE: ADDITIONAL NAMED INSURED: INSURER A: Interstate Fire & Casualty Company INSURER B: (Non-Liability) National Union Fire Insurance Company of Pittsburgh, PA INSURER C: AIG Specialty Insurance Company INSURER D: Markel American Insurance Company 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 LTR ADD’L NAMED INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE X OCCURRENCE GENERAL AGGREGATE X INCL PARTICIPANTS Property Damage Deductible: $250 PRODUCTS/COMP OPS AGGREGATE X SEXUAL ABUSE Sexual Abuse OCCURRENCE Sexual Abuse AGGREGATE MEDICAL PAYMENTS Any One Person DIRECTORS & OFFICERS EACH LOSS $1,000,000* AGGREGATE $1,000,000 CYBER LIABILITY COVERAGE LIMIT OF LIABILITY CLAIMS MADE $100,000 PER LEAGUE AGGREGATE S&P SECURITY AND PRIVACY LIABILITY INSURANCE $100,000 PER LEAGUE SUBLIMIT OF LIABILITY** $1,000 PER LEAGUE RETENTION RETROACTIVE DATE POLICY INCEPTION CONTINUITY DATE POLICY INCEPTION REGULATORY ACTION SUBLIMIT OF LIABILITY $100,000 PER LEAGUE SUBLIMIT OF LIABILITY $1,000 PER LEAGUE RETENTION EM EVENT MANAGEMENT INSURANCE $100,000 PER LEAGUE SUBLIMIT OF LIABILITY** $1,000 PER LEAGUE RETENTION NOT APPLICABLE POLICY INCEPTION INLAND MARINE/PROPERTY FLOATER EACH LOSS $35,000 Deductible: $500 CRIME EACH LOSS $35,000 Deductible: $1,000 SPORTS EXCESS ACCIDENT As in Master Policy: Med. Max. $250,000 Deductible $50 As in Master Policy Excess “X” INDICATES COVERAGE(S) SELECTED FOR ADDITIONAL NAMED INSURED ADDITIONAL INSURED Who is an Insured (SECTION II) 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 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 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 premises not being used by the above-named Little League. NAME AND ADDRESS OF PERSON OR ORGANIZATION: INSURED 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. AUTHORIZED REPRESENTATIVE 02/08/26 4054421-2026-3 4 05 44 LOS ALTOS AMERICAN LL 26580 Taaffe Road Los Altos Hills, CA 94022 A X UST030987260 01/01/2026 01/01/2027 $3,000,000 $3,000,000 $3,000,000 $1,000,000 $1,000,000 C X C X A X XB 01-468-17-57 01/01/2026 01/01/2027 01-454-69-95 01/01/2026 01/01/2027 1. Purissima Park 2. Almond Elementary School 3. Santa Rita Elementary 4. Covington Elementary 5. Egan Junior High 6. Hillview Park UST030998260 01/01/2026 01/01/2027 SRG9105434 01/01/2026 01/01/2027 MKLM7IM0056260 01/01/2026 01/01/2027DX Little League Baseball Risk Purchasing Group, Incorporated 539 U.S. RT. 15 Highway South Williamsport, PA 17702 CERTIFICATE OF INSURANCE DATE (MM/DD/YY) PRODUCER Keystone Risk Managers, LLC 1215 Manor Drive, Suite 208 Mechanicsburg, PA 17055 CERTIFICATE #: INSURERS AFFORDING COVERAGE: ADDITIONAL NAMED INSURED: INSURER A: Interstate Fire & Casualty Company INSURER B: (Non-Liability) National Union Fire Insurance Company of Pittsburgh, PA INSURER C: AIG Specialty Insurance Company INSURER D: Markel American Insurance Company 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 LTR ADD’L NAMED INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE X OCCURRENCE GENERAL AGGREGATE X INCL PARTICIPANTS Property Damage Deductible: $250 PRODUCTS/COMP OPS AGGREGATE X SEXUAL ABUSE Sexual Abuse OCCURRENCE Sexual Abuse AGGREGATE MEDICAL PAYMENTS Any One Person DIRECTORS & OFFICERS EACH LOSS $1,000,000* AGGREGATE $1,000,000 CYBER LIABILITY COVERAGE LIMIT OF LIABILITY CLAIMS MADE $100,000 PER LEAGUE AGGREGATE S&P SECURITY AND PRIVACY LIABILITY INSURANCE $100,000 PER LEAGUE SUBLIMIT OF LIABILITY** $1,000 PER LEAGUE RETENTION RETROACTIVE DATE POLICY INCEPTION CONTINUITY DATE POLICY INCEPTION REGULATORY ACTION SUBLIMIT OF LIABILITY $100,000 PER LEAGUE SUBLIMIT OF LIABILITY $1,000 PER LEAGUE RETENTION EM EVENT MANAGEMENT INSURANCE $100,000 PER LEAGUE SUBLIMIT OF LIABILITY** $1,000 PER LEAGUE RETENTION NOT APPLICABLE POLICY INCEPTION INLAND MARINE/PROPERTY FLOATER EACH LOSS $35,000 Deductible: $500 CRIME EACH LOSS $35,000 Deductible: $1,000 SPORTS EXCESS ACCIDENT As in Master Policy: Med. Max. $250,000 Deductible $50 As in Master Policy Excess “X” INDICATES COVERAGE(S) SELECTED FOR ADDITIONAL NAMED INSURED ADDITIONAL INSURED Who is an Insured (SECTION II) 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 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 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 premises not being used by the above-named Little League. NAME AND ADDRESS OF PERSON OR ORGANIZATION: INSURED 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. AUTHORIZED REPRESENTATIVE 02/08/26 4054421-2026-3 4 05 44 LOS ALTOS AMERICAN LL 26580 Taaffe Road Los Altos Hills, CA 94022 A X UST030987260 01/01/2026 01/01/2027 $3,000,000 $3,000,000 $3,000,000 $1,000,000 $1,000,000 C X C X A X XB 01-468-17-57 01/01/2026 01/01/2027 01-454-69-95 01/01/2026 01/01/2027 Purissima Park 27500 Purissima Rd. Los Altos Hills, CA 94022 UST030998260 01/01/2026 01/01/2027 SRG9105434 01/01/2026 01/01/2027 MKLM7IM0056260 01/01/2026 01/01/2027DX Little League Baseball Risk Purchasing Group, Incorporated 539 U.S. RT. 15 Highway South Williamsport, PA 17702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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 endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY SEXUAL ABUSE OCC/AGG 2/8/2026 Keystone Risk Managers, LLC 1215 Manor Drive Suite 208 Mechanicsburg PA 17055 David Irwin (570) 473-2150 (570) 473-2151 DIrwin@Keystoneinsgrp.com Little League Baseball Risk Purchasing Group, Incorporated LOS ALTOS AMERICAN LL 26580 Taaffe Road Los Altos Hills CA 94022 Interstate Fire & Casualty Company 22829 A Per League X X UST030987260 01/01/2026 01/01/2027 3,000,000 300,000 Excluded 3,000,000 3,000,000 3,000,000 1M/$1M Certificate Holder is named as Additional Insured per form CG 2026 (12/19) Purissima Park 27500 Purissima Rd. Los Altos Hills CA 94022 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Name Of Additional Insured Person(s) Or POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 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 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 UST030987260 Purissima Park 27500 Purissima Rd. Los Altos Hills, CA 94022 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 WAIVER OF TRANSFER 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: 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. UST030987260 Purissima Park 27500 Purissima Rd. Los Altos Hills, CA 94022 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION 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. POLICY NUMBER:UST030987260