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CERTIFICATE OF LIABILITY INSURANCE DATE JMMMDrffY <br />1/912017 <br />wirwilif , A aim <br />WIN 1"1111AI <br />.................. <br />Himietonka KV 55343 <br />-------- ---------- ---------------------- <br />INSURED <br />Centerville Lions Clidh <br />'71SS Brian :Dr <br />.- A :Division of <br />ACORID 25 (20-14101) <br />II 02 powi) <br />John Hendrickson/LKO <br />01 -20'14 ACOIRI D COIRIPORAMIN., All Rights ressirved., <br />The ACOIRD iname and kN I Ireglistaired imam rks of ACORD <br />COVEIRAGES CEIRTIFIEA'rE1P UMIBEIR:16­17 Li ab RIEVISION NUMBEIR: <br />TH!IS MTO GERTBFY'THx'r RIE POLKKS OF INSURANCE LISTED BELOW HAVE 3EEN IISSUEDTO'niE INS UIRED NAMED ABOVE FOR THE POLE PEW011) <br />INMuvm. NOTWTH&TANDING ANY BRE-WREMENT, T'LIBRIA OR GOINDITION OF ANY CONTRACT Oa OTHER DOCUMEm"r w#TH RESIREGF TO WHBCH TBIBS <br />CERTIFICArE NMY BE MWED OR IWAY PEIRrA#14, THE INSURANCE AFFORDED IBY DiE POLICIES DERBED HERENN IIS SU13JECT TO ALL THE rEwS, <br />EXCLUSION 16' ANDCONW�ONS OF SUCH POUCIES. LIMITS S11­10VVW MAY HAVE <br />BEEN IREDUCIED BY IRAID CLAWS. <br />sk 9w1q -------- — --- - -------- <br />T19- <br />IL 'TYPE OF QNSUIRANCE POLOCY NUIMBZR <br />—GIENIERAL <br />------------------------------- ----------------------------------- <br />POLICY EPIF Amm LIIIW"S <br />7 COMMERCIAL ILLAWLITY <br />IEArH 00CURREINCE $ 110001000 <br />A CLAVJ8­MADE bik]OWUR <br />.10off000 <br />A175402 <br />7/7/20is 7/7/2017 MIFDIEXp EXCLUDED <br />rs ............. . ........ <br />---- -- <br />PERSONAL & ADV IINJURY $ 1w 000, 000 <br />- ------- --------------- ------------- ------- <br />N'IPL Ecr ArE LRIMOIT- �K,PEP4Z <br />2,-0-0-0-,-0-0-0 <br />I�TL AGE_R_EGATE <br />_GxEOAGUCGYR <br />F-] JEGrMILOC <br />_PE -0 <br />ODUCPS-COM ROPA--- ------2 <br />-GG 000,000- <br />AkUTOMOBBLE UABLITY <br />-- - — ------------ <br />ANYAUTO <br />$ <br />AILL ONNED SCHEDULED <br />Auros AUTOS <br />--------- <br />90101ILY11WURY(Petaccident) $ <br />INON.-UWNEED <br />HIRED AUTOS ... AUTOS <br />P"Ro-F ----- <br />$ <br />UMIDIREILILA LINE OCCUR <br />CC <br />EAGH OCCURRIEWE $ <br />EXCESS LIAB CLAIMS -MADE <br />CLAD <br />FDED=RCTEN�T�PDN <br />----------- ------------------------------ <br />---------- ---------- <br />$ <br />ORKEOM COMPENSATION <br />R__ <br />AND EMPLOYERWILBAWILITY <br />rT r ____________________ <br />ANNY PROPRI_ tORPARTNEFVF-*-'CQJTWE <br />OFARCE RAIEMBER EXCLUIDEM? IMIA <br />EAC <br />--- -- H AM----- - <br />-------- L ----------------- <br />IE.IL..-EL <br />(Mandatacy In NH) <br />=EASE - EA EMPLOYEE $ <br />ff"- <br />E.n 6sBaft under <br />DES OPERATIOW <br />­­ ------------------ -------------------- <br />imipnON OF Wrjw <br />E.L.D181EASE-ImILOCYLIMIT $ <br />A. LIQUOR L:rABI=rr A175406 <br />7/7/2016 7/7/2017 IFJrH COMM014 rAUSE *1 000,000 <br />AGGREGATE $1,000,000 <br />"05CMIP"ni" "IF OPERKnONS t LOCA'nONS I VEINRCLNES (ACORID 101., AddMouW Raimots GcheduIu, may be aftched N irrenaar¢e space Is requqrbd) <br />Re - Rvent April 201'7 <br />Certificate Holder in included as an Additional Insured -under the Clonnercial Genera) Liability and Liquor <br />Liability when required :by written contract. <br />CIERTIFICATIE HOLDER <br />CAINCIELLAT110114 <br />SHOULD ANY OF THE ABOVE IDESCIRRIBIED IPOILuCVIES BE CANCELLED BEFORE <br />C,.hurch of st Genevieve <br />'THE EXPUON DA'rE THEREOF, NOTICE WILL BE IDI LOVEIRED BIN <br />7087 Goiffon :Rd <br />ACCORDANCE WITH THIE POLICY PROVISIONS. <br />Centerville, MK 55039 <br />AUTHORMED REPRESGINTNTRVE <br />ACORID 25 (20-14101) <br />II 02 powi) <br />John Hendrickson/LKO <br />01 -20'14 ACOIRI D COIRIPORAMIN., All Rights ressirved., <br />The ACOIRD iname and kN I Ireglistaired imam rks of ACORD <br />