|
CERTIFICATE F LIABILITY INSURANCE
<br /> 'HIS CERTIFICATE i SWUED AS A MATTER OF INFO NATION RL A4tt t� BEAS HIGH'f S � CERTIFICATE z YE Etfi t1E . Itt�
<br /> EEtt't"tEtCA2E DOES NOT AFFIRNATIVELY OR N EGATI EE2 AMEND,E,4:t END 0i2 AL HEE THE GO ERA E AFFORDED BY THE POLIttIES
<br /> aFLOW, THIS CE 1'tpEttxA.1 E OF INSURANCE DOES NO CONS1"tTUTE A CONTRACT 13ET EEN H ISSUINGtttSttRERC ,2�tt'TttEf t2E 1
<br /> REPRESENTATIVE OR PRODUCER,AfttE THE C �'IEi AtE �.
<br /> �}
<br /> i rP f Ar It the certificate Holder is an ADDITIONAL INSURED the Ent€ry tnE rl out he andomed, E SU0ROGATION IS WAIVED,so eject to
<br /> tho tem s and conditions rattle policy,certain Enxi in;may r quire En Endor ernarit. A statement On into r,rtifir:Efr�does not rr nfer r ghtE tE the
<br /> lt€ t to no oar � � of
<br /> n E �ndorEr�menIVI
<br /> prrcl�ED � Ir r_r;tt Et Elr ltt
<br /> nor --
<br /> Hub International{SWPU-Saint Paul rrr Ern��, �i1 2 t t8$. r�
<br /> 245 ED
<br /> Ruselawn Avenr e,#81 ADDRESS:
<br /> ---_ --
<br /> AFFORDMG COVERAGE
<br /> 1AM Tr
<br /> -.
<br /> Sl cart Faun IS c #iSURE .A x>c t:f`�n4 In st€E.€�=e .env 4129"T
<br /> .M�-..m..m..m. .m..m..m. 0..00000_ mmmmmmmm_____' .....
<br /> .......................................................... ..... ________'
<br /> M UREr E,
<br /> n ----------------------
<br /> Midwest Events EEC N rrrara C
<br /> -----------
<br /> 1890 Whittaker St err zaa
<br /> ..•.................................... .............................. f..____mamma _.._.._..
<br /> .€v ''RER E'
<br /> ---------------- 4�-----------------------..-..-..
<br /> 'Vt€€$..€..8,efir ._.at:..cr DIN 51 f t:£o BORER r,. €
<br /> COVERAGES -EERTIF'lCKFE NUM EFC a REVISION t UMBERS
<br /> Httx.,mN .CNKrs ._ :._.- BE_ xr HAVE rM :N.v,wirE F4. HE.��NSURED NAMEtt, tA)VE!ORTW PO, k ,. . F'tt€Ot?
<br /> N
<br /> 01 CA -E. N �•,...1-TA v, `NC,,A IY 5.t.C�:w�HREt,..NT. .., P11 C')I .ONDITI � i.��*A) �, P tx R 1 .�'�a x,, }t
<br /> Rti.FI EttAYSElEtr,v....x 4.;M, � •�t::''.r�.v. i E IN x.,,.:•x.��C ,x€r0FF K x:,.,M% t�E.. x.,..1 ,..x. D S.. . ,m�;IEPE rx S S ;! v t.7A:..,..SIE' ,..:�%I :,
<br /> C 3uS �:S:_,M )x x.r tl Sr i .i..�... x.. .F E x '. ' b$ x_tE r�' k•rE. ..sM ,�.�x,..r ;; x.
<br /> r"t r€ RANCr s POLICY€ UMBE. . E k r , 'T'
<br /> ---
<br /> _ G I t
<br /> F i x•. x:l
<br /> S MADE'
<br /> .............o -� ___ ______ �--i................
<br /> M
<br /> i ------0__________ ... ------------------ ---
<br /> MED t
<br /> Pa2?881;32 t2$xt.} xx£: At =� xt€e3
<br /> i $.. ,
<br /> --mm_ -------------' ... nnnnnnn
<br /> x: x .._.._...
<br /> - .......
<br /> x._000_
<br /> _______ _______mm ._.._.._.._.._.
<br /> .�
<br /> ...,.. --------------------- ...................................... . ......: ._. ww..................
<br /> .xx.x:r,.�:!'f(.£ s E :f€ ...
<br /> r 3 &
<br /> v
<br /> OMBRELLAUAS
<br /> z
<br /> EXCE'63 UAS 1 € Fit € x:
<br /> _j Ert
<br /> 1• "st�FTfT,.&+.x'y€NE:rs%i3 iR ---i ..,k....
<br /> ---- .:}. ......................
<br /> 46
<br /> ........ ............. ...._mm. _______y.___________— ..................................... '"". .. ........ .................... .............
<br /> F � '
<br /> F
<br /> ......... ......... ......... ........ _______________ _______ ............................................................ ......nn v:. ..m..m.._ .....
<br /> r:ESOp r'IoN or EEE NNIONE r r,Or`AnEss$V t€-;.Ct.LS r,�r;.ER.V UHC . s W�`=aI Ramarkr SuudUle.May=:«3 W.;.t. €£€We.xr£kt'e n r£Sm*Ld)
<br /> F,r(D`t:.r��.,er.. .Is Mx.:€7:'rosPr�.}to €..>,��xt..ted a ..do¢x„':.0, In'_x it3..,v€t rtis,a ch,
<br /> ,
<br /> t: x„}= T r(}. C*�T roarch 1,11:20#}
<br /> T , .rxti 3r€.£ € . ,€€€'a
<br /> � wSmtxrF3{ Err £,=. 't~
<br /> ,, i rs`£ at{ i r tta€S , x,_dp
<br /> ,
<br /> CERTIFICA31 HOLDER CANCELLATION
<br /> ttrtOULD ANY OF SEE ABOVE EEEEEMEE EEUCIEE BEd ANCEE rEit BEFORE
<br /> THE Be'
<br /> PIRATION DATE THEREOF,NOTICEGILL BE DELIVERED IN
<br /> City of Centerville,Minnesota AEEttrtttANCE' ITH HE 1tor.lEE EErt IONS.
<br /> 1880 MWn Street -
<br /> AUTHORIZED e�
<br /> � .r''.�r.
<br /> : :,.''��rr'�.��rYxr`.
<br /> Ger€terville tvt 55Q38 x � �� E�Ex�x�
<br /> 0 1E88.2E14 AEORD CORPORATION. A l rlEhtE r rr, yr t.
<br /> ACORD 25(2014.101) The ACORD name and loge are re Catered marks of ACORD
<br />
|