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<br />l1li CERTIFICATE OF LIABILITY INSURANCE I DA~DmYYI <br />~CC!RD <br />PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />HRH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />333 E. BulleJfield Road, 5th Roor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lombard. IL 60148 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />Phone: (800)316-6705 Fax: (630) 324-2779 INSURERS AFFORDING COVERAGE NAlC" <br />INSURED INSURER "- ACE American Insurance Company 22667 <br />CENTERVIllE LIONS ClUB INSURER s: <br />MJNNES01l'. <br /> INSURER c: <br /> INSURER 0: <br /> INSURER E: <br /> <br />.....--, <br /> <br />COVERAGES <br /> <br /> THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDmONS OF SUCH <br />~O.S. AGGREGATE lIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br />llR TYPE OF INSURANCE POUCYNIIMBER ~~~ POUCY EXPIRAlI UMI1II <br />....... 1,000,000 <br /> .!,..ENERAlllABLlTY HOOG21745662 & 0910112007 0910112008 EACH OCCURRENCE s <br />A X COMMERCIAl. GENERAl LlASIUlY CSZ0302505 ~~l s 1,000,000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone pmsanl S 1,000 <br /> - PERSONAL II AOV I!WRY S 1,000,000 <br /> - GENERAL AGGREGATE S 2,000,000 <br /> ~AGG~=nPER: PRODUCTS - COMPIOP AGG S 2,000,000 <br /> POlICY JECT lOC S <br /> ~0BIlE lIABDJIY HD0G21745662 & 09/0112007 0910112008 COI!BINED SINGlE UMIT s INCLUDED <br />A ANt AUTO CSZ0302505 (Sa-I <br /> f- <br /> f- ALl OWNED AUTOS BODIlY INJURY IN ABOVE <br /> s <br /> I-- SCHEDlllED AUTOS (PerpOlSlll'll <br /> ~ HIRED AUTOS SODllY INJURY <br /> 5 <br /> ~ N~AUTOS (Per aa:hIent) <br /> ~ PROPERTY DAMAGE 5 <br /> (Per aCClIlllnl) <br /> GARAGE IJABtLJ1Y AUTO ONlY - EA ACCIDENT S <br /> :::r,;.NY AUTO OlllER THAN EA ACC S <br /> AUTO ONLY: AGO S <br /> EllCESSllJlllBREllllABDJlY EACH OCCURRENCE S <br /> cr OCCUR D CLAIMS MAIlE AGGREGATE S <br /> S <br /> ~ ~EOUCTmLE S <br /> RETENTION S S <br /> WORKERS COl!PENliAlION AND IT~ST~I IU& <br /> BIIPl.OYERS' UABD.JTY E.L EACH ACCIDENT S <br /> JllolY PRO?RIETORIPARTNER/EXECUTlVE <br /> OFFICERIMEMBER EXClUDED? E.L DISEASE - EA S <br /> W)'IlS,_UlIlIar E.L DISEASE -I'Ol.ICY LIMIT S <br /> SPECIAl PROVISIONS belo\'1 <br /> 01llER <br />DESCRIP1ION OF OPERATIONSl L0CA1ION!l I VEIIICl.ES I EllCLUSlllNS ADDEO BY BIDORSEMENT I SPECIAL PROYISIONS <br />_ ~ _to the named _8 psJ1IcIpsIIon In the f<lli<lwlng adIvIly cIurIng the policy period 8IIown above: 2Oll8 CENTERVlllE UONS EASTER EGG HUNT AT LAIURIE <br />LAMOTTE ON 3-22-ll8 <br />LAIURIE LAMOTTE MEMORIAl PARK 19 _... 811_ Jnsuredl8}. butonlywllh respe<:ttoGenel8I LIabIIIIy arising ouIofthe use ofprem1se8 by the _shawn above and not ouIof <br />tI1e8Ola~a188ld__ <br />PROVISl OF THE POLlCY DO NOT APPlY TO THE SALE OR SERIllNG OF ALCOHOLIC BEVERAGES <br /> <br /> <br />CANCEUAnON <br />SIlOULOANYOI' lllEAIIOVE DESCRlllEDPOUCIES BE C~"""" FD IlEfORElllE EXPIRATION <br />DATE 1JlEIlEOF. lllE ISSUING INSURER WILL ENDEAVOR TO MAIL..1!L. DAYS WRITlEN <br /> <br />NOTICE TO lllE CERTIFICATE HOLDER NAIlED TO lllE LEFT. BUT FAD.JIIlE TO DO so SHALL <br />IMPOSE NO OBLIGATION OR lIABDJIY OF AllY KIND UPON lllE INSURER, rrs AGENTS OR <br />REPRESElllTA1IVES. <br />AUTHORIlED REPRESENTATIVE <br /> <br />ACORD 2& (2001/08) <br /> <br /> <br />@)ACORD CORPORATION 1988 <br />