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Client#:24684 CENHI ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDIYYYY) 6/10/2014 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 CONTACT NAME: Bob Blomster J.A. Price Agency,Inc. PONE FAX 6640 Shady Oak Road _E-MAILLo, EX952 944-8790 lAlc,No);952 944-0097 Suite 500 ADDRESS: bob.blomster@japrice.com Eden Prairie,MN 55344-6176 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Riverport Insurance Company 36684 INSURED INSURER B Centennial High School Baseball Boosters 575 Birch St INSURERC: Circle Pines, MN 55014 INSURER D: INSURER E: INSURER F: 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 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 LTRR TYPE OF INSURANCE A SRL WVD POLICY NUMBER MMIDDY POI ICY LIMITS A GENERAL LIABILITY SRP0000136 07/01/2014 07/01/2015 EACH OCCURRENCE $1,000,000 DAMAGEE,jO RENTED X COMMERCIAL GENERAL LIABILITY P EMI5 S Ea occurrence $100,000 CLAIMS-MADE FXI OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GENTAGGREGATE LIMITAPPLIESPER• PRODUCTS-COMP/OP AGG $3,000,000 X POLICY 7 PECOT- LOC $ AUTOMOBILE LIABILITY EO aco dE�DISINGLE LIMIT S ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED PROPERTY DAMAGE S AUTOS Per a"UI S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I N ER ANY PROPRIETORIPARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) E L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT S I IT I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Anoka County,its officials, agents,employees and volunteers are included as an additional insured per attached additional insured form. ADDITIONAL INSURED MANAGERS OR LESSORS OF PREMISES,LESSOR OF LEASED EQUIPMENT,SPONSORS OR CO-PROMOTERS. CERTIFICATE HOLDER CANCELLATION County of Anoka SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2100 3rd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Anoka, MN 55303 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S138596/M137898 RDB