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ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID B~ DATE (MIIIDDIYYVY) FLANA-3 03120/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATIOll Moores Insurance Mgmt Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lawson.CODIIIOns HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 380 St. Peter street, ste 720 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW st. Paul lOt 55102 Phone: 651-255-6800 Fax: 651-255-6801 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A; tJD1.te4 1'1r. .. c:aaaalty ~ INSURER B: Flanaaan Sales Co., Inc. INSURER C; 1567 ast countr Road "En INSURER D: st. Paul MN 551 0 INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUlREt.'ENT, 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 UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. NSRI POLICY NUMBER ~E iMMIODiY'ii IPDLllOY LIMITS LTft TYPE OF INSURANCE DATE ~ LIABILITY EACH OCCURRENCE S 1,000.000 A .;... COMMERCIAL GENERAL LIABilITY 60353312 09/10/06 09/10/07 PREM:s'Es (Ea oc:curence) S 100,000 :=J ClAIMS MADE ~ OCCUR MEO EXP (Any one person) 5 5,000 - X Empl Ben Liab 60353312 09/10/06 09/10/07 PERSOIIIAl & ADV INJURY 51,000,000 GENERAL AGGREGATE S 2,000,000 GEN'l AGGREGATE LIMIT APPliES PER: PRODUCTS. COMPIOP AGG 5 2,000,000 4 POUCYh-~ n LOC EBL $U4/$2M ~UT0M08'LE LIABIUTY COMBINED SINGLE liMIT 51,000,000 A ANY AUTO 60353312 09/10/06 09/10/07 (Ea IICCidenl) !-- AU OWNED AUTOS BODILY INJURY ~ S SCl-EDULED AUTOS (per petSOII) I-- ~ HIRED AUTOS BODIL Y INJURY S ~ NON-OWNED AUTOS (per accident) PROPERlY DAMAGE S (Per IICCidenl) RE LIABILITY AUTO ONLY. SA ACCIDENT S AN'( AUTO Oll1ER ll1AN EA ACC S AUTO ONLY AGG 5 ElCCESSiUM8RELLA UA8Il/TY EACH OCCURRENCE $ 2,000,000 A !J OCCUR o CLAIMS MADE 60353312 09/10/06 09/10/07 AGGREGATE 52,000,000 5 ~ DEDUCTIBLE S X RETENTION Sa s WORKERS COMPENSATION AND X!rORY LIMITS I IVER- A EMPLOYERS' LIA8ILITY 60353312 09/10/06 09/15/07 E.L EACH ACCIDENT S 100,000 AlolY PROPRtETORlPARTNERJEXECUTIVE OI=FlCERlMEMSER EXCLUDED? E.l. OISEASE. EA EMPlOYEE S 100,000 ~~C1~~V':~ below El. DISEASE - POLICY liMIT S 500 ,000 OTHER A Property 60353312 09/10/06 09/10/07 Contents $25,000 Snecial. Risk REPLACEHENT COST Oed $ 1,000 DESCRIPTION OF OPERATIONS I LOCAllONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project: Laurie LaMOtte Memorial Park and Property at 1601 LaMotte Drive. FOR QUESTIONS REGARDING THIS CERTIFICATE PLEASE CONTACT BERNADETTE LECH AT 651-255-6858 OR blech@mooresinsurance.com CERTIFICATE HOLDER City of Centerville 6967 Brian Drive Centerville MN 55038 CANCELLATION CTYCENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WlLlL ENDEAVOR TO MAlL ~ DAYS WRITTEN NOTICE TO TlIE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHAll IMPOSE NO OBLIOATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTH ?TIVE ACORD CORPORA ION 19 ACOR 25 (2001108)