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ACORN® DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE �08112/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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, ANDTHE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pol icy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Mark Remillard(131135T) 7029 20th Ave Centerville MN 55038-9737 INSURED City of Centerville 1880 Main Street Centerville MN 55038 n COVERAGES CERTIFICATE NUMBER: NAME: Mark Remillard _ PHONE FAX (A/C, No, EXT): 651-762-7801 (A/C, No): 651-764-7429 E-MAIL ADDRESS: mremillard@farmersagent.COm I NSURER(S) AFFORDING COVERAGE NAIC # INSURERA: LeaUge Of Minnesota Cities Insurance Trust INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDTL SUBR POLICYEFF POLICYEXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER LIMITS (MM/DD/YYYY) (MM/DD/YYYY) I COMMERCIAL GENERAL LIABILITY 1 CLAIMS -MADE OCCUR A GENT AGGREGATE LIMITAPPLIES PER: I_ POLICY11 PROJECT1-1 LOC OTHER: AUTOMOBILE LIABILITY X ANYAUTO EACH OCCURRENCE $ 2,000,000 $ DAMAGE TO RENTED PREMISES (Ea Occurrence) MED EXP (Anyone person) $ PERSONAL&ADVINJURY $ 2,000,000 CMC 1001814-8 03/01/2025 03/01/2026 $ 3,000,000 + GENERAL AGGREGATE PRODUCTS-COMP/OPAGG $ COMBINED SINGLE LIMIT (Ea accident) $ 2,000,U00 BODILY INJURY (Per person) $ WNEDAUTOS SCHEDULED BODILY INJURY (Per accident) $ A O CMC 1001814-8 03101l2025 03/01/2026 _ HIREDAUTOS NON -OWNED PROPERTY DAMAGE $ ONLY AUTOSONLY (Peraccident) UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I RETENTION$ I _ ,$ WORKERSCOMPENSATION PER OTHEIRS AND EMPLOYERS'LIABILITY STATUTE ANY PROPRIETOR/PARTNER/ Y/N E.L. EACHACCIDENT EXECUTIVE OFFICER/MEMBER N/A WC-1001815-8 03/01/2025 03/01/2026 A EXCLUDED? (Mandatory in NH) E.L. DISEASE —EA EMPLOYEE Ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CHURCH OF ST. GENEVIEVE AND THE ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS, THEIR EMPLOYEES, AND ALL OTHER PERONS IDENTIFIED IN INTEREST THEREWITH (HEREINAFTER REFERRED TO AS THE INDEMNITEES) TO BE LISTED AS ADDITIONAL INSUREDS. EVENT: VOLUNTEER APRECIATION EVENT ON 1011512025 LOCATION: FELLOWSHIP HALL OF CHURCH OF ST GENEVIEVE, 6970 CENTERVILLE RD, CENTERVILLE MN 55038 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION CHURCH OF ST. GENEVIEVE DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7087 GOIFFON ROAD AUTHORIZED REPRESENTATIVE CENTERVILLE MN 55038 _ _ MARK REMIUARD ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All Rights Reserved 31-1769 11-15 TheACORD name and logo alagistered marks of ACORD