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Acord Logo CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
02/07/2024
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 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
SADLER & COMPANY, INC.
P.O. BOX 5866
COLUMBIA, SOUTH CAROLINA 29250-5866
CONTACT NAME: Sports Dept
PHONE (A/C, No. Ext): 800-622-7370   |   FAX (A/C, No): 803-256-4017
E-MAIL ADDRESS: soda@sadlersports.com
PRODUCER CUSTOMER ID#:
INSURED
D/B/A SPORTSPLEX OPERATORS AND DEVELOPERS ASSOCIATION

16 Athletics Inc

2010 Connecticut
Niagara Falls, NY 14305
Club #: C.89203
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: State National Insurance Company 12831
INSURER B: SeriousPoint America Company 38776
INSURER C:
INSURER D:
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.
INSD
LTR
TYPE OF INSURANCE ADDL
INSR
SUBR
WVD
POLICY NUMBER POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
LIMITS
A GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
   CLAIMS MADE   OCCUR
____________________
____________________
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY  PROJECT  LOC
OTHER
X   OVE-0000286-00 12:01AM ET 08/30/2023 12:01AM ET 08/30/2024
EACH OCCURRENCE $2,000,000
DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000
MEDICAL EXPENSES (other than participants) $5,000
PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $3,000,000
PRODUCTS-COMP/OP AGG $1,000,000
LEGAL LIAB TO PARTICIPANTS $1,000,000
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
    n/a n/a n/a
COMBINED SINGLE LIMIT (Ea Accident) $1,000,000
BODILY INJURY (Per person)  
BODILY INJURY (Per accident)  
PROPERTY DAMAGE (Per accident)  
A
SEXUAL ABUSE / MOLESTATION
    n/a n/a n/a
EACH OCCURRENCE $1,000,000
AGGREGATE $2,000,000
 
UMBRELLA LIAB   OCCUR
EXCESS LIAB   CLAIMS-MADE
DEDUCTIBLE
RETENTION
    n/a n/a n/a
EACH OCCURRENCE n/a
AGGREGATE n/a
   
  WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
Y/N
ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under DESCRIPTION OF OPERATIONS below
    N/A
PER STATUE

OTHER
 
E.L. EACH ACCIDENT  
E.L. DISEASE - EA EOMPLOYEE  
E.L. DISEASE - POLICY LIMIT  
B PARTICIPANT ACCIDENT     PHSA-BAM-10089-C.89203 12:01AM ET 08/30/2023 12:01AM ET 08/30/2024
EXCESS MEDICAL $100,000
AD&D $10,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

RE: COVERED Team(s) - Youth - Accident & General Liability
Baseball - 14 Team(s) - [Maximum 18 players per team]

Team Names:

  • Baseball Teams: Gronk Nation 7/8u, Gronk Nation 8u hybrid , Gronk Nation 9u, Gronk nation 10u , Gronk Nation 11u Black , Gronk Nation 11u Grey , Gronk Nation 12u , Gronk Nation 13u , Gronk nation 14u Navy, Gronk Nation 14u Grey , Gronk Nation 14u White , Gronk Nation 15u , Gronk Nation 2026 Showcase , Gronk Nation 2025 Showcase

(Accident Package Youth Team: $100,000 Excess Medical; $10,000 Accidental Death or Dismemberment; $250 per claim deductible)
(General Liability Package Youth Team: $2,000,000 Each Occurrence; $1,000,000 Participant Legal Liability Sublimit; $1,000,000 Neurodegenerative Sublimit; Waiver/Release Recommended)

CERTIFICATE HOLDER CANCELLATION
RELATIONSHIP:
Tournament Host

City of Niagara Falls
P.O. Box 69
Niagara Falls, NY 14302
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 (company A)
Company A Signature
AUTHORIZED REPRESENTATIVE (company B)
Company B Signature

Coverage is only extended to U.S. events and activities
** NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas.
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