Laserfiche WebLink
<br />ACORD CERTIFICATE OF LIABILITY INSURANCE [:::~~ <br />PIlODUCER PIIIDII(8DO)318-87C15 PM (890)324-2779 ONLY AND CONFERS NO RIGHTS UPON THE camFICAP <br />HUb Rogal & Hobbs <br />333 E_ Butterfield Ad- HOLDER. THIS CERTIFICATE DOES NOT ~ ~~ ~ <br />Lombard. IL 60'148 INSURERS AFFORDING COVERAGE <br />INliUIV=U INSURER A ACE American Insurance Comoanv <br /> INSURER B <br />~- LioDs Club INSURER C <br /> INSURER 0 <br /> INSURER e <br />THE ~IJO-'~~ OJ rlJSTl:D -'-"',-,!I:_ 0.. CATED: <br />1M REQUIREMENT TERM em CONDriloNoF 1M CONTRACT OR 01lfER DOCUMENrWl1H RESPECrTO WHICH THs CEfmRCATE MAY BE ISSUED OR <br />MAY PERTAIN 1lfE INBURANCEAFFORDED fl'( THE POLICIES DESCRIBED HERSH IS SlJBJECT TO ALL THE TERMS, EXCWSJONS AND CONDITIONS OF SUCH <br />POUClES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br />~ mE OF lN8lJRANCE POUC:Y NUMBER - l!ACHOCCURRENCE lIIIIIS <br /> lIEI'lBRAL LIAIIIUTY , .. ^"^......... <br /> :!] COMMERCIAL GENEFlAL LIABILI1Y FIRE DAMAGE (ADy-lIre) S 1 0-...... <br /> Cl.AIllSMADE[!]OCCUR MED EllP IAnr _...-) S 1 nnn <br />A 3..--"'-.......... HDOG21732679 & 0910112006 09/0112007 PER$ONAl. & AfJIIIN./UR'( IS .. <br /> CSZ0302606 GENEIW. AGGREDATE . 2.DOD.OOO <br /> . COMPlOPMm . 2 nnn.nnn <br /> -, nuV'! <br /> ~BD.l! UABIUTY COIilBtNED SlN&l.E LIMIT $ Included In HJovt <br /> /IN'f AUTO (Per~ <br /> - HD0G21732679 & <br /> - ALL OWNED AUTOS IIOJ)fl. Y INJURY <br /> 8CH!DUlI!D AUTOS CSZ0302505 09/01/2006 09/01/2007 (Per JIIRlIIII I <br />A - OWNED AUTOS NOT COVERED <br /> !. HIRED AUTOB BODILY II\IJURY <br /> .!. fION.OWNED AU1'OS (Per1lDlllllald) . <br /> - I'flOPERTY DAMAGE I <br /> (Per1lllllldsnlJ <br /> cu _ LIA8ILITf AIITO ON\.Y . EA AGGlDS\IT , <br /> MY AUTO NOT COVERED OTHER 1lIAN EANJO <br /> I- AlITO ONLY AQG , <br /> I!XCE8S IJAIIILITY .. EAat OCCURRENCE , <br /> I-- OCCUR 0 CLAIMS MADE <br /> AB8REOATE . <br /> ~ NOT COVERED S <br /> ~ <br /> DEDUCTIBLE I <br /> I-- <br /> RET'ENIlON $ , <br /> ~~TIONAND I -.., I I OTHeR <br /> I!IIP I.IAIIIUTY NOT COVERED S <br /> E L.. EACH ACCIDENT <br /> E L DI8EASI- EA . <br /> E L aSEASE- POLICY LIIIIT S <br /> GPD <br /> . . iDS of the policy apply to the Cemervillc LioDs Clab for their participation in the '1JJCT1 "Fete des LaesA Pestiva1 ofLakcs on July 'rI - <br />Awe-:.:= 6. '1JJCT1 (or on any other dates c:luriDg the policy period). <br />m.e Anoka County Sheriff is an additional insumcI(s). but only with respect to liability arising out of the use of premises by the CentmviJle <br />iUons Club and not out of the so18 negligence. of said addi1icma1 iDsurecl. <br />PROVISIONS OF TBE POUCY 00 NOT APPLY TO TBB SALB ORSBRVINGOF ALCOHOUC BEVERAGES. <br />......n... LDI::R I I ADIlItJoIW. IItSURD: lJISUIlllR LETTER rtOtI <br /> 8KOULOANY OI"THI! A8OVl! DISGfUJ'RI POLICIES BE CANc:aJ!D BI!!FORI!1MI <br /> ElPlRAnoN DA11! 1HEBEDP, TH! IIISIJllllG COIIIPANY WILl. ENIl!AVDR'TO IIAlL <br />iAnoka County Sheriff ..J.Q.!AYS WAJT1'EN N01'lCS T01HECER11FICATE! KOLDERIWIED'l'OTHI LSPr. <br />~25 E. Main Street BUT FAlLUlll! TO IIAIL SUCII N01ICE 8IIALL IIIPOSE! NO OIILI8ATION OR LIAfJIUTY <br />1",_,- MN SS038 OJ' ANY ICIND UPOl\l TIll! COIlIPAN'f. rrs AlIENT8 OR ~TIVI!& <br /> 101m B. Adams. C.P.C.U. I llIrn, e. ~ <br /> ., . ACORD CORPOFIATION 1988 <br /> <br />~t/' <br />