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B3/15/B7 B9:38:B4 DEFAULTCSID -} Pdge BB2 ACORD CERTIFICATE OF LIABILITY INSURANCE DA TE (MMIDDIYY) I March 15, 2007 PRODUCER PhonB(800)316-6705 FAX (630)324-2779 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hilb Rogal & Hobbs ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ho...W R. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 333 E. Butterfield Rd_ -AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW Lombard, IL 60148 r- SCANNI: ~U INSURERS AFFORDING COVERAGE "'OUt'(cu \"\~R 2. 0 ~It\!f! R ERA ACE American Insurance Company CenteIVille Lions Club \.\ll's'URER B INSURER C Minnesota INSURER D c COVERAGES - THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOVI.N MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ITR DATE (MMfDDlyn DATE (MMIDDlyn GENERAL LIABILITY EACH OCCURRENCE I 1,000,000 TI COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 1,000,000 . CLAIMS MADE CD OCCUR MED EXP (Any onB person) I 1 000 A ~L ^"""'" """ ^'",,, '" HDOG21732679 & 09/01/2006 09/01/2007 PERSONAL & ADV INJURY $ 1 000 000 CSZ0302505 GENERAL AGGREGATE 2 000 000 I PRODUCTS. COMP/OP AGG I 2,000 000 I POLICY nPROJECTn LOC AUTOMOBILE liABILITY COMBINED SINGLE LIMIT $ Included in Above - (Per aCCIdent) ANY AU TO - HDOG21732679 & ALL OWNED AUTOS BOOllY INJURY f--- CSZ0302505 09/01/2006 09/01/2007 (Per person) I SCHEDULED AUTOS A ~ OWNED AUTOS NOT COVERED HIRED AUTOS BODILY INJURY ey- NON-OWNED AU10S (Per accident) I f--- ~ PROPERTY DAMAGE S (Per accident) GA !t'GE LIABILITY AU TO ONLY - EA ACeiDEN r S ANYAUTO NOT COVERED NV\J '3111^c 31N3:> OTH ER THAN EA ACe I-- AUTO ONLY AGG S EXCESS LIABILITY EACH OCCURRENCE S I-- o CLAIMS MADE OCCUR L002 g I ~VW AGGREGA TE S I-- NOT COVERED I - DEDUCTIBLE a~^I~ 03~ I - RETENTION $ I WORKERS COMPENSATION AND I TORY -~,~" I I OTHER EMPLOYERS' liABilITY NOT COVERED E L. EACH ACCIDENl $ E L DISEASE - EA EMPLOYEE I E l. DISEASE - POLICY LIMIT I DESCRIPTION OF OPERA TlONS/lOCA TJONSIVEHIClES/EXCl USJONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS rovisions of the policy apply to the CenteIViIle Lions Club for their conducting the 2007 CenteIVilIe Lions Easter Egg Hunt at the Laurie amotte Park on April 7,2007 (or on any other dates during the policy period). The City of CentervilIe is an additional insured(s), but only with respect to liability arising out of the use of premises by the CentervilIe Lions 1ub and not out of the sole negligence of said additional insured. ROVISIONS OF THE POLICY DO NOT APPLY TO THE SALE OR SER YrnG OF ALCOHOLIC BEVERAGES. C RTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER ity of CenteIViIIe 1880 Main Street Centervil1e, lv1N 55038 SHOULD ANY OF THE ABOVE DESCR/BED POLICIES BE CANCELED BEFORE THE EXPIRA TION DA TE THEREOF, THE ISSUING COMPANY WilL ENDEA VOR TO MAil ~AYS WRITTEN NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT, BUT FAilURE TO MAil SUCH NOTICE SHALL IMPOSE NO OBLlGA TION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR RE:PRESE:NTATIVES. AUTHORIZE:D REPRESEN1ATlVE: John E. Adams, C.P.C.D. G.~ ACORD CORPORAT36