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2017-10-04 P & R Packet
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2017-10-04 P & R Packet
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9/29/2017 4:52:12 PM
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IDA E O <br /> CERTIFICATE OF LIABILITY INSURANCE 091281201 7 <br /> THIS CER71FIlC,A'TE IIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONIFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE I0GE8 NOT AFFIRMATIVELY OR NEGA71VELY AMEND, EXTEND OR ALTER TIME COVERAGE AFFORDED BY 'THE POLICIES <br /> BELOWTHIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETWEEN 'TIRE ISSUING INSURER(S), AUTHORIZED <br /> IREIPRESEIN'T :TI IE OR PRODUCER,AND'THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the cerfficate holder Is are ADDITIONAL INSURED, the policy(les) must have DITION INSURED prrx islolms or he <br /> endorsed., If SUBROGATION I8 WAIVED, subject to the tenns and 00indritions of the policy, certain Policies may require an endorsement A <br /> statement on this cortMcated s not confer rights to the certifficate holder In Neu of such endorsement(s). <br /> PRODUCER CONTACT <br /> IMemor C Sea .,e I�r PHONE___�_____-,-------------------------------- <br /> IMemor IN Ian s A$IP inI ILC J... �_— l~____________________-_____________PO Box 14575 <br /> s <br /> Des Moines,IA 50 -4575 nN RIS _ _ ____________ _ _ <br /> INSURER A°Now__HBmpshlre Insurance Co. 23841 <br /> D__... ._—____________________________________________.w._v_________ --- p - ....�------_._. __________________________ __________ <br /> URERS <br /> INSUREN <br /> Anoka Co RediolEmergency SeMce r <br /> iNSURE111ci_________________________________________..—_ ---------------- <br /> C/O <br /> - ___________C/O RaW W.Carded CEO <br /> 1L____________________________________________.____ ._._._...__..._,......_ <br /> PO Bax 982 <br /> Anoka.PO <br /> 55303 JET__________M._v____________________________________ <br /> INSWER P <br /> COVERAGES CERTIFICATE NUMBER: REMS10N NUMBER. <br /> THIS IS TO CERTIFY 'TMT THE POLICIES OF INSURANCE ILI 'TED BELOW HAVE BEEN ISSUED 'TO THE INSURED N EIC OVE IFOR 'THE POLICY PIER <br /> INDICATED,, NOrWII17IH8'rAND1NG ANY (REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WFTH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY 8E ISS UIED OR MAY PERTAIN, 'TIDE INSURANCE AFFORDED BY 'TINE POLICIES IDE CRIISED HEREIN I0 SUBJECT TO ALL THE 'TERMS, <br /> EXCLUSIONS ANIS CONDITIONS OF SUCH IPCLUCIIE .LIMITS SHOWN MAY HAVE SEEN REDUCED BY(PAID CLAIMS. <br /> ___________ _— .________ � �� nUB� -----------_-------------------------------- <br /> _IP___ _______________________________w_______- <br /> OLWYEW <br /> E I RSIU E i NUMBER IN INtWWffM UNITS <br /> ___ <br /> X I COMMERCIAL LTABILITY EACH OCCURRENCE $1,000,000 <br /> U - E ' UC O�CU.bR I I EDPdU GE TO RENTEID <br /> _________________ <br /> L_ RGL-7248399aa 0210112017 a7J��d2I� PIOArt�,I�.sssamSE (Ea owurmra)____ 3100,000 <br /> I _—�,u____________v,.._- IMEUS EXP(Amy we person) $50,000 <br /> INJURY___ . �y______________m <br /> __________ <br /> OIEn Y IL AGGREGATE IM'T P n lES P'ER, - I GENERALAGGREGATE �W.000,OO <br /> i IROIACY f__� O <br /> IP144'OK�.UC'�'a-COI�AF°dC�IPAnG�:s"� °�ti, OOCY <br /> OTHER: <br /> �� <br /> W0RK.IE UANUTY ¢Ea wddar RN $1 ,000 <br /> RGL-7249900 02072017 0210'1201tAN Amp G � rX <br /> _a ____- ---------—-_4-___1__-____ <br /> G.4WNED MADS I OILY MU.URY(Per dent.) 1 <br /> i cows ISCHEDULED1 ______i�..._-----__w_------ <br /> cNLV INOPWWNECb <br /> NALUMS ONLY <br /> 1 <br /> IUMBREILLA UM EACH R NCE $ <br /> ______________________ __________________ <br /> REGATE <br /> DED RETEK00145 <br /> DEIMPLO OIL yl IN I �� � _w _I N3rrtU <br /> ___-_________________- <br /> �£S FG IkI n 4 4 i NBA IE.IL,EACH CaD I ________________ <br /> i In NMN <br /> hIdevAbe o,Ur4 IE.L. S _EA E YEIE?¢$ <br /> RU ION OF OPERATIONS bol ________ <br /> __________________ <br /> q ! E.L.DISEASE-POILCY IJIMIIf $ <br /> FTHER <br /> i <br /> s I <br /> I <br /> DESCRIPTION OF OPERAnOMW ILOCKMNS MEHIC10%Ad l Remadw Schadde,may beattachad lff space M reOall dl <br /> I�Eff 10,37.2017 Include City of Ce Ile Minnesaft as additional Insured:Cerffficate Holder ICG2012I Dalt only mdth respects to the named IInsu "s <br /> inogligence with(regards to the Halloween Spedel Eventftflon event to Ilue Iheld at Laude Larnoft(Pack 0 Larnotte Dr.,Centerville,MN 00038 an 70.37 17. <br /> L——------------------—_u______—------------- .n. -- <br /> �.�.------ ------------------------------------------------- <br /> CERTIFICATEHOLDER CANCELLATION <br /> TI N <br /> City of Centerville <br /> 880 Dain Strad SHOULD ANY OFTHE ABOVE DESCRIBED(POLICIES BE CANCELLED BEFOIRIE <br /> Centerville,MIR 55038 THE EXPIRATION DATE THEREOF, N'OT'ICE 'MILL BE DELIVERED IN <br /> ACCORDANCE Wf 'TINIE POLICY IPROVISION8, <br /> ASTIMORMEID REPRESEWATIVE <br /> w <br /> ACORD 29(20'18103) 17988.2010 ACC COIR I TIEIIN.. <br /> II rights .The ACORD name and logo are registeredmarks . <br />
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