2013-05-01 P & R Packet - Laserfiche WebLink

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A� 2 CERTIFICATE OF LIABILITY INSURANCE 03/01/ 013 ) 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 pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 NAME: MHBT Inc. PItoNE - 0 - 16DD � F nrc M2 972 8144 Walnut Hill lane, 16th Floor E�IAII Dallas, TX 75231 INSURER(S) AFFORDING COVERAGE NA1C0 _ IN SURER A: Old Republic Insurance 24147 INSURED Soy Scouts of America, National Council and INSURERS: _ All of its affiliates and subsidiaries including: I NSUFMRC. Northern Star Council, Boy Scouts of America INSURER D: 393 Marshall Avenue INSURERE: _- St Paul, MN 55102 1 INSURER.: 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. AW mm INSR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM MMID GENERAL LIABILITY EACH OCCURRENCE $ 1 OOO OOO A X COMMERCIAL GENERAL LIABILITY MWZY 59997 03/01/13 03/01/14 PREMISES Esocaste 6 CLAIMS -MADE OCCUR MED EXP (Arty one Parser) S PERSONAL d ADV INJ URY S GENERAL AGGREGATE_ S GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG S X POLICY PRO- S LOC COM BINED I LIMI LIABILITY AUTOMOBILLIABILITY (Ea saved nt BODILY INJURY (Per person) $ ANY AUTO ALLOWNED SCHEDULED BODILY INJURY (Per acuderd) S AUTOS NON-OWNED $ TY DAMA E Per I P HIREDAUTOS AUTOS S UMBRELLA LU1B OCCUR F F— EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE S S DED RETENTIONS Vvt: STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR(PARTNERIEXECUTIVE YON E L EACH ACCIDENT $ OFFX:EIMEMBER EXCLUDED? ❑ N I A E L DISEASE - EA EMPLOYE S (Mandatory in NH) Iyu, deson'be hander E L DISEASE - POLICY LIMIT S r r I I I I DESCRIPTION OF OPERATIONS I LOCATIONS N VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space Is required) Certificate holder is named as an additional insured by virtu of a written or oral contract or by the issuance/existence of a permit or certificate of insurance but only with respect to operations by or on behalf of the Insured, or to facilities of, or facilities used by the Insured and then only for the limits of liability specified in such contract for the event specified herein. Northern Star Council's Pack 9432 picnic and rocket launch at LaMotte Parkon either June 8 or 30, 2013. CERTIFICATE HOLDER CANCELLATION City of Centerville SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1880 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Centerville, MN 55038 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988 -2010 ACORD CORPORATION. All rights reserved, ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD