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2017-06-14 CC Packet
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2017-06-14 CC Packet
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Ac v" CERTIFICATE OF LIABILITY INSURANCE °"02117/2017Y <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. ' _I <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POU <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSULNG INSURER(S), AUTHORIt._ <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the poriey(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this owitticats does not confer rights to the <br />certificate holder In lieu of such s , <br />PRODUCER <br />Paul Steffel(I311245) <br />7029 20th Ave <br />CentervlNe MN 55038-9737 <br />AWL <br />PHore <br />Erik 651-762-7801 <br />w <br />INSURM#)AFFORDING COVERAGE MAICIF <br />aeuRERA: League of Minnesota Cities Insurance Twist <br />04up D <br />City of Centerville <br />1880 Main Street <br />Centerville, MN 55038 <br />INS R M a : <br />alaua19t c : <br />94SURE t D : <br />aisuRERE: <br />arsuRSR <br />r_nV1:QAf%F4t I VIDTIFIr ATF UIIYRFR- 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 PND CLAIMS. <br />im <br />im <br />TYPE OF INSURAMM <br />AWL <br />GUIM <br />POLICY NU1 <br />EFF <br />LASTS <br />A <br />0E)a2RAL LNBRITY <br />CaMMEPANAL GENERAL LNBILRY <br />CLAIMS -MADE X OCCUR <br />CMC 1001814 <br />03/01/2017 <br />03/01/2018 <br />EACH OCCURRENCE 9 2,000,000 <br />DAMAGE TO 91171'Iff— <br />3 f <br />MED EV ams $ <br />PERSONAL A AM RJURY s 2,000,000 <br />GENERALAGGREGATE $ 3,000,000 <br />GEM AGGREGATE LIMIT APPLIES PER <br />POLICY O Loc <br />PRODUCTS - COMPOP AGO S <br />i <br />A <br />AUTOMga1N E LIABILITY <br />X ANY AUTO <br />ALL D ASC �DULED <br />HIRED AUTOS AUTD <br />CMC 1001814 <br />03/01/2017 <br />03101/2018 <br />COMBINED 5111am-Loff— <br />scomIn2,00 <br />90DILY www (Per person) S <br />BODILY KJURY(Perecdaxx) 5 <br />PROPERTY DAM04E f <br />5 <br />IRABRELLA LIAR <br />EXCESS LIAR <br />O� <br />CIJUMS MADE <br />EACH OCCURRENCE S <br />AGGMGATE t <br />owRETEsT10N <br />$ <br />A <br />**IUOS COMPENSATION <br />AND EIPLOYOW UABLn f <br />ANY PROPRIETORIPARTNEMEXECUTIVE Y <br />OFFICEPJMEMSER EXCLUDED? <br />(Myssrsd,Nary In 11" <br />RDESCR M"N OPERATIONS below <br />MIA <br />WC 1001816 <br />03/01/2017 <br />03/01/2018 <br />ATU•OTI+ <br />EL EACH ACCIDENT i 1,600,000 <br />EL DISEASE- EA EMPLOYE S 1,500,000 <br />E.L DISEASE - POLICY LIMIT j $ <br />OEtCRRK10l1 OF OPERATIONS LOCATIONS t VEIeCLES (Mbeki ACORD 101. Additlonel rWserks Salwdrle, $ men epee Is <br />County of Anoka to be listed as Additional Insured <br />Event: Centerville' Festival of the Lek" 6VJBK RurdWalk <br />Location: Rice Creek Chain of Lakes Regional Park <br />Date: July 22, 2017 <br />County of Anoka <br />Government Center <br />2100 3rd Avenue <br />Anoka, MN 55303 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Paul H Steffei <br />ACORD 25 {2010105) ®1955-2010 AGORD CORPORATION. All ftghte re"rV00. <br />The ACORD name and logo are registered marks of ACORD <br />10 <br />
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