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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />�/ <br />DATE(MMIDD/YYYIr) <br />02/17/2017 <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. ff SUBROGATION IS WANED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />WVCT <br />PHONE 651-762-7801 lAX No: <br />Paul Steffel(1311245) <br />PDRE <br />7029 20th Ave <br />INSURERS AFFORDING COVERAGE NAIC NI <br />INSURER A: League of Minnesota Cities Insurance Trust <br />Centerville MN 55038-9737 <br />INSURED <br />INSURER a : <br />INSURER C: <br />City of Centerville <br />INSURER D: <br />1880 Main Street <br />INSURER E: <br />Centerville, MN 55038 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />�TR <br />TYPE OF INSURANCE <br />ADDL <br />U <br />POLICY NUMBER <br />POLICY EFF <br />POLI DY NJ6� <br />LIMITS <br />GENERAL UABILrTY <br />EACH OCCURRENCE $ 2,000,000 <br />PREMISES Me occurrence $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FSK OCCUR <br />MED EXP (Any ane person) $ <br />PERSONAL a ADV INJURY $ 2,000,000 <br />A <br />CMC 1001814 <br />03/01/2017 <br />03/01/2018 <br />GENERAL AGGREGATE $ 3,000,000 <br />GEN'LA GGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ <br />$ <br />POLICY PRO- LOC <br />JECT <br />AUTOMOBILE <br />UA131UTY <br />(CEOM, BINEO SI LEL MIT 2,000,000 <br />ccident <br />BODILY INJURY (Per person) $ <br />X <br />ANY AUTO <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />CMC 1001814 <br />03/01/2017 <br />03/01/2018 <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />1IM13RELIA11, <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAR <br />DED I I RETENTION <br />$ <br />WORKERS COMPENSATION <br />T RYTA OTH <br />ER <br />A <br />AND EMPLOYERS' LUU3IUTY N <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICERIMEMBEREXCLUDED? <br />(Mandatory In NH) <br />NIA <br />WC 1001816 <br />03/01/2017 <br />03/01/2016 <br />E.L. EACH ACCIDENT $ 1,500,000 <br />E.L. DISEASE- EA EMPLOY $ 1,500.000 <br />N yes describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE --POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Addidonai Romarb Schedule, N mon space isfw*drad) <br />County of Anoka to be listed as Additional Insured <br />Event: Centerville' Festival of the Lakes 5K/8K Run/Walk <br />Location: Rice Creek Chain of Lakes Regional Park <br />Date: July 22, 2017 <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />County of Anoka <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Government Center <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />2100 3rd Avenue <br />AUTHORIZED REPRESENTATIVE <br />Anoka, MN 55303 <br />Paul H Steffel <br />ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />