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AcoR© CERTIF1CiE OF LIABILITY 1NSURAE OP ID .s DATE ( MM /DDJYYVY) 11/30/10 THIS CERTIFICATE lS 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 Maguire Agency 1935 West County Road B-2,#241 Roseville MN 55113 Phone:651-638-9100 Fax:651-638 -9762 WN I AC I NAME: Erik D. Thompson {AH/C °,NN o, EXt): 651-635-2756 FAX No): 651-638-976, E -MAIL ADDRESS: ethompson@maguireagency.com PRODUCER CUSTOMER 1D # FLARE --2 1NSURER(S) AFFORDING COVERAGE NAIC # INSURED Flahertys Arden Bowl, Inc. 1273 West County Road Arden Hills, MN- 555112 INSURER A : SECUPA Insurance A Mutual Co OCCUR INSURER B : Accident Fund InsuranceCompany 10166 INSURER C : 01 /01 /11 INSURER D : EACH OCCURRENCE INSURERE: UAMAGE f0 REN I ED PREMISES (Ea occurrence) INSURER F : ERAGES 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 INSURANCE AUUL INSR SUthi WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MM!DDIYYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR CP003146306-9 01 /01 /11 01/01/12 EACH OCCURRENCE $ 1,000,000 UAMAGE f0 REN I ED PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE MED EXP (Any one person) $ Excluded GE PERSONAL & ADV INJURY .$ 1,000,000 GENERAL AGGREGATE $ 2,000,000 'L AGGREGATE LIMIT APPLIES PER: RO- POLICY JECT LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIV OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS YIN N 1 A WCV6051756 01/01/11 01/01/12 WC STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L_ DISEASE - EA EMPLOYEE $ 1. , 0 0 0 , 0 0 0 below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Liquor Liability CP003146306 -9 01/01/1101/01/12 1,000,000 *See Below 2,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) *Each Common Cause CERTIFICATE HOLDER CANCELLATION XARDEN2 City of Arden Hills 1245 West Highway 96 Arden Hills, MN 55112 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 ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. AU rights reserved. The ACORD name and logo are registered marks of ACORD