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CERTIFICATE OF LIABILITY INSURANCE I <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURIII AUTHORMED <br />REPRESENTATIVE OR P RODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: N do co"Meab holder Is an ADDITIONAL INSURED, the policy(Ns) must be endorsed. N SUBROGATION IS WAIVED, subject t0 <br />the Nmts and conditions Of the policy, Certain Policies may require an andorsemanL A statement on this th rtMCaN does not confer rights to the <br />artMeaN holder in Neu of such endoraement(s). <br />PRODUCER I uVi <br />Willis of Illinois, Inc. <br />425 N. Martingale Road, Suite 1100 <br />Schaumburg, IL 60173 <br />CemeMile Lions Club <br />CeMerWge Minneeola <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN . THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />RISR T TYPE 04 INSURANCE POMCYNUMER 29NM I LeYRS <br />A GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 <br />X aMMEITCIAt GENERAL LUBILm HDOG25531541 0910112011 09/01/2012 PRENISES Ill 1,000,000 <br />CWMSJMOE OOCCUR AEDEXP aN S 1,000 <br />(igg_ Per Named Insulted PERsOHAl a ADv wA1Ry S 1,000,000 <br />is S2,0D0,000 GENERALAGGREGATE T 10,000,000 <br />OEM AGGREGATE DMA I.YI <br />APPLIES PER PRoxcTs. CDCP AGG 5 2000 <br />X Pa a ° LOC S <br />A <br />AUTOMOBILE <br />LIAeILRY <br />xlN'95 <br />Included <br />ANr AUro <br />HDOG25531541 <br />0910112011 <br />09/0712012 <br />BoDILYINARrv,.P.) <br />s <br />A A�a�•AED AS�IAED <br />SODRY INA1RY pbacoded) <br />S <br />f <br />HaPFD AUTOB A ILITOS <br />s <br />UYBRELlA IIAB <br />OOCUt <br />FAGM� <br />3 <br />EXCESS LIAB <br />CLA�MAOE <br />AGGREGATE <br />S <br />DED REIEMIGST <br />S <br />WORKERS COMPENSATION <br />ANDEMPLOWU'LIABILITY YIN <br />A,lYPROPRETORYARTNER,FKECUIIVE <br />FVI <br />OCEWAE EX <br />NEERCLUDED <br />assembler <br />KM tr~u'n � <br />DESORPTION aF DI+ERATMGNS tieAYA <br />NIA <br />TVCS A - <br />- <br />EL EACHACGDENT <br />S <br />EL. DISEASE. EAEMPLO <br />S <br />EL. DSEASE- POLICY LIMIT <br />S <br />M" IPTK) NOFOPERATIONS!IOCATDNSIVENICLES IAReNACGRp tm. AddhlwNl0.enleeb erl4auN .Yloseapace braeuired) <br />Provisions of the policy apply to the named insureds paltiupe4on in he following activity during the policy period shown above: Cents lla Lions Ice Fishing Contest- 2118/2012 <br />Moka County Sheriff, 15M Bunker Lake Blvd., Andover, MN 55304 is mounted! tetl as an Adddlonal Insured(s), but only min real to General Liability arising out of Ric bsuanc miD <br />e of pere) to Me <br />Insured shoY.m above and not out of the suite rregdperpe of said wiabonal Insured. <br />PROVISIONS OF THE POLICY DO NOT APPLY TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Cenbuyaw THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />1880 Marl Street ACCORDANCE WITH THE POLICY PROVISIONS, <br />Camomile Minneeoo 55038 <br />AUTIfORIZEG REPRESENTATIVE <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />32 <br />