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Client#: 1882917 Attachment 6 DATE(MM/DD/YYYY) ACORD. CERTIFICATE OF LIABILITY INS 08/15/2022 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lisa Soland USI Insurance Services, LLC a/o"N,Ext:800 873-8500 AIC,No): 610-537-1954 8000 Norman Center Drive, Suite 400 -ADDRESS: lisa.soland@usi.com Minneapolis, MN 55437 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Swiss Re Corp Solutions Elite Ins Corp INSURED INSURER B:Old Republic Insurance Company _ Matter Scottsdale Insurance Company _ '. INSURER C: 7005 Oxford Street, Suite A INSURER D:Travelers Casualty and Surety Company _ St Louis Park, MN 55426 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 37035097 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 CONTRACTOR 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY 05/31/2022 05/31/202 1 EACH OCCURRENCE $1 000 000 CLAIMS-MADE ^ OCCUR PREMISES Eaoccurr nce $500 000 MED EXP(Any one person) $20 OOO PERSONAL&ADV INJURY $1,0003000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X POLICY ECOT LOC PRODUCTS-COMP/OPAGG $3,000,000 OTHER: EmpBenefits $$1MCIm/$3MA A AUTOMOBILE LIABILITY 5/31/2022 05/31/202 EaMBINED S accidentINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A X UMBRELLA LIAB X OCCUR 5/31/2022 05/31/2023 EACH OCCURRENCE s2,000,000 EXCESS LIAB X CLAIMS-MADE AGGREGATE s2,000,000 DED X RETENTION$10000 $ B WORKERS COMPENSATION 06/05/2022 06/05/202 X IPER STATUTE EORH AND EMPLOYERS'LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? [N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 C Products Liab. 05/31/2022 05/31/2021 $1M Cim/$1M Agg A Liquor Liability 05/31/2022 05/31/2023 $1M Cim/$1M Agg D D&O/EPLI 05/31/2022 05/31/2023 $3M Cim/$2M Cim DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION City of Arden Hills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1245 Hwy 96 W ACCORDANCE WITH THE POLICY PROVISIONS. Arden Hills, MN 55112 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S37035097/M36242232 SACT