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<br />I <br /> <br />:ai. <br />RD CERTIFICATE OF LIABILITY INSURANCE <br />-~ <br /> <br />DATE (MMJDONY) <br />06/12/2002 <br /> <br /> <br />JeER (952)893-9218 <br />CORPORATE 4 INS AGENCY. <br />20 METRO BOULEVARD <br />INA, MN 55439-2133 <br /> <br />FAX (952)893-9402 <br />INC. <br /> <br />QNL Y AND CONFERS NO RIGHTS UPON THE CERTIF!CA TE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br /> <br />Centerville Lions Club <br />7389 Old Mill Road <br />Centerville, MN 55038 <br /> <br />INSURER A: <br />INSURER B: <br />INSURER c: <br />INSURER 0: <br />INSURER E: <br /> <br />General Star Indemnity <br /> <br />COVERAGES <br /> <br />THE POUC1ES OF lN$URANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. N01WITHSTANDING <br />ANY REOUIREMENT, TERM OR CONOtT\ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED eVTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICieS. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CU\IMS. <br />LTR TYPE OF INSURANCE P<lUCY NUMBER DATE (MMIODNY) t"OATE1/MMIDDIYY) UMITS <br /> GENERAL LlABlUTY EACH OCCURRENCE , <br /> - <br /> COMMERClAL GENERAL UABlllTY FIRE DAMAGE (Anyone lire) , <br /> I CLAIMS MADE 0 OCCUR --- MED EXP (Anyone person) . <br /> PERSONAL & ADV INJURY , <br /> - GENERAL AGGREGATE <br /> , <br /> - <br /> GEN'lAGGREGATE UMIT APPliES PER PRODUCTS - COMPfOP AGG . <br /> II 'n?RO- n <br /> POLICY JECr LOC <br /> AUTOMOBILf UABIUT't COMBINED SINGLE LIMIT <br /> - (Eaaccident) , <br /> Am AUTO <br /> - ALL OWNED AUTOS <br /> - BODILY INJURY , <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> HU:~EO AUTOS THIS INSURANCE IS ISS ED PlJASl.IA,' T TO BODILY INJURY <br /> - , <br /> NON-OWNED AUTOS W::' MINNESOTA SURPlU LINES INSUR NC<': (~acciQen\l <br /> - ACT. THE INSURER IS ~~ ELIGIBLE SUF PLUS <br /> IIIISE PROPERTY DAMAGE , <br /> LINES INSURER BUT I NOT OTHER (Peracciderlt) <br /> GARAGE UABIUTY ~, in",,,,..,,, VI. !.AiMS AUTO ONLY - EA ACCIDENT , <br /> =1 ANY AUTO CASE OF iNSOlVENCY, P ,YMENT OF C EA Ace , <br /> is NOT GUARANTEED. OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESS UABIUTY SURPLUS LINES TAX EACH OCCURRENCE $ <br /> ~ OCCUR 0 CLAlMS MADE AGGREGATE $ <br /> , <br /> R ~EOUCT1.LE $ <br /> RETENTION $ , <br /> WORKERS COMPENSATION AND \TOR'1UMlTS! IV,'!r <br /> EMPLO'reRS'llABIUTY E.L. EACH ACC1DENT , <br /> E.L DISEASE - EA EMPLOYE , <br /> I E.L DISEASE - POLICY UMIT . <br /> OTHER irMA574028 J 06/30/2002 06/30/2003 $1,000,000 each common cause <br />A Li quor L iabil ity $1,000,000 aggregate <br />OE5CRlt'T10N OF OPI;t(ATIONSJLOCATION::>JvEHICLESIEXCLUSIONS ADDED BY ENDORSEMEN !SPECIAL PROVISIONS <br />CERTIFICArE HOLDER I I ADDmONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD A.NY OF THE ABOVE OESCRlBED POllC1ES BE CANCELLED BEfORE THE <br /> EXPIRATION DAn: iHEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> ......lO..- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> City of Centerville BUT FAILURE TO MAil SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR UABIUTY <br /> 1880 Main St. OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. <br /> Centerville, MN 55038 AUTHOR~REPRESENTATIVe ~ e:e~ <br /> - i.., ~ne Johnson/MB <br /> ,.,"" \ nO( I c l~.. <br />