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2015-12-09 CC Packet
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2015-12-09 CC Packet
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INSURED MEMBER GENERAL LLAâ–ºBILITY DECLARATIONS CERTIFICATE <br /> Insurance Company: GREAT AMERICAN E&S INSURANCE COMPANY <br /> Address: RICHMOND,VA <br /> Policy Number: PL 3717684 Certificate Number: 0210-D <br /> Policyholder: Sports And Special Event Risk Purchasing Group, Inc.A Risk Retention <br /> Purchasing Group Filed Under The Risk Retention Purchasing Group Act <br /> Of 1986. <br /> Address: P.O. Box 1250,Midlothian,VA 23113-1250 <br /> INSURED MEMBER AND ADDRESS <br /> Lions Club of MN/Centerville Lions Club Coverage Effective Date: 06/30/15 <br /> c/o The Christensen Group Coverage Expiration Date: 06/30/16 <br /> 11100 Bren Road West Both At 12:01 AM At The Address Of <br /> Minnetonka, MN 55343 The Insured Member. <br /> Insured Operations: Charitable Events Clubs Location:Various <br /> $2,000,000 General Aggregate Per Participating Member <br /> $2,000,000 Products-Completed Operations Aggregate Limit <br /> $1,000,000 Each Occurrence Limit <br /> $1,000,000 Personal And Advertising Injury Liability Limit <br /> $ 100,000 Damage to Rented Premises <br /> $ 5,000 Medical Expense Limit Any One Person <br /> $ 0 Deductible Each Claim <br /> $1,000,000 Liquor Legal-$1,000,000 OCC/$2,000,000 AGG <br /> The Coverage Afforded Is Subject To Policy Limits,Terms And Conditions. The Above Is A Recitation, <br /> And Does Not Provide Separate, Increased Or Additional Limits. This Certificate Evidences That <br /> Coverage Exists For The Insured Operations. <br /> Additional Insured: City of Lino Lakes <br /> Julie Bartell <br /> 600 Town Center Parkway <br /> Lino Lakes,MN 55014 <br /> This Endorsement/Certificate Is Issued At The Request Of. USG Insurance Service, Inc. <br /> Dated At Richmond,Virginia <br /> 6/29/2015 <br /> John W. Frazier <br /> John W. Frazier,Authorized Representative <br /> SSERPG-0I-GL(01/05) Page 1 of 2 <br /> SPORTS & SPECIAL EVENT RISK PURCHAsiNG GRQUP.-I, INC. <br /> 102 <br />
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