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DATE A� CERTIFICATE 'Q F L BrILITY' INI,�'l�. R CE E'&14/2018� ��y THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER; THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder,is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS'WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.. A statemlent on this certificate does not confer rights to the certificate holder in lieu of such endorsement S). PRODUCER C6NT�NAME ' John Adams _. DSP Insurance �imc Nr�` Ext): 1-800-316-6705 AI ;,NAA; 1-888-467-2378 E.. c �ff COI, ullte 650EIAII lictrvsclubs Am)DRE55 @dspins cm1 SCI1IIrTIlOUCI L I 601173 INSURER(S)AFFORDING COVERAGE N= INSURERA; ACE American Insurance Company 22667 INSURED 114Suram=R B Centerville Lions-5M7 INSURER C Centerville Minnesota rlmsuREmz ra, INSURER E. INSURER F COVERAGES CERTIFICATE NIUIMBIER: REVISION NUMBER: THIS IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INICuIC.ATIED INOTWITHST'ANDINC, ANY REOUIIREPAENIT" TERM OR CONDITR)N C)F ANY CONTRACT OR d:".THER Dm.)C1J�MIEN"I WITH RESPECT TI° WHICH 'PHIS' C.'EIR'TIFI/`A'IE MAY BIL ISSUED OR MAY PERTAIN, THE IWAIRANCEAPPORt:TED BY 'T"HiE. POLICIES DSC RIBEDHEREIN IS SUBJECT TO AIL"L. 1HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PV:)I.II.IFS I..IIMITS:SI"ILD°v,"UN MAY GIAVE BEEN REDUCED BY PAID CLAIMS AIIM'.S LTF2 CPL'SU R POLII;YEFF POLICY EXP LIMITS IINSR TYPE E E9r INSURANCE ROLICY NUMBER IMMIDWYYYY11 MlMd'CJD;YYYY) A GENERAL LIABILITY EACH t;µC;CURRENCE 5 1,000,000 )P4MERC:AL(3 NERALLoABILT) HIDOG27867431 09/01/2017 EE9/01/2018 UAMA L S 1,000,000 C;LAumI&MADE 1XI CCCUR mnED E IAo7tu m� rer b T 5,000 Aug, Per Named Insured PERSONAL AADV WN JRY S 1,000,000 is$2„000,000 GE1N!ICR.AL AGGREGATE S 10 000,000 .ENL AG RF SATE LIMIT AIPF'?IES PER PP0DC CT» 0 1P A G...s 2,000,000 000 P(Airly Moral,:- F7 LOC $ A A9"D)MOBILIE I IABIL111"YE MBI UE d SINGLE LIMIT S 1,000,000 ANY A J70 I AHI09061046 09/01/2017 09/01/2018 BODILY INJURY(Perl mmT E ALL OWNED SCHEDULED Bk)DXIYINJURY(Per acr,Aeur) S Al.0"TOS AUTOS NOW.IHIRED AUTOS � ALUTa^rSVWN£C'k PerIac id n&DAPd1AGE, time RE LLALIABI' 0C CUR EACH �Ug9RRENBE S EXCESS L.I.Ae C LAIB1S-h�%DE A (3REGATE 51 DED RETENTVON''S 5 WORKERS 4 4IhIPEINSATVCImY dY STATI.P- t;YTH. AND ErMP CPYFRS"LIA811L1"T`Y YIN' - , ANY PR(.)TR,ETOF,:/P"AIRTNCRPR XECLITr°E: E L FACH AC(ADENT 5 OFFK', EXGI UDEW N d.A: (Mandatory in NH) E L DISEASE EA EMPLOYEE DI � ,RIFT'ON OF O ERAT11ON below F L IDGEASE P C rP�mld Y LIm 11 F S: OESCRIPtION TPF OPERATIONS P I C,PI:AIIONS P VEHICLE S fAadktr,pn AI C➢RD 1119.Adrtm tI�dtal kw trorrrN�Scl��adka0�.IT aroarrw,spaar�i�m�rgulP�aaq Provisions of the policy apply to the named insureds participation in the following activity during the policy period shown above:2018 Fete des Lacs Festival City of Centerville is included as an Additional Insured(s),but only with respect to General Liability arising out of the use of premises by the Insured shown above and not out of the sole negligence of said additional insured. PROVISIONS OF THE POLICY DO NOTAPPLY TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES CERTIFICATE HOLDER CANCELLATION' City of Centerville SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEILLED BEFORE. 1880 Main Street THE EXPIRATION DATE 'THEREOF, NOTICE WILL BE. DELIVERED IN Centerville 55038 ACCORDANCE WITH THE POLICY PROVISIONS. AU IHOIRIPE IJP RE RRIESIEN"IA'TNE 22 ;r 1988.2010 ACORID CORPORATION. All nights reserved.. ACORD 25(2010)051 The ACORD name and logo are registered marks of ACORD