Laserfiche WebLink
<br />............., " <br />ACORD <br /> <br /> <br />HRH <br />E Butterfield Road, 51h Floor <br />bard,IL 60148 <br />ona: (800)316-6705 Fax: (630) 324-2779 <br />INSURED <br />Centerville Uons Club <br />.......... <br /> <br />THIS CERTIFICA ION IS ISSUE AS A A ER F I OR TION <br />OHLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER A ACE Amelican Insurance Company <br />INSURER B: <br />INSURER C' <br />INSURER 0: <br />INSURER E' <br /> <br />HAIC# <br />22667 <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE L1STEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSueD OR <br /> MAY PERTAIN. THE INSURANCE AFfORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~ <br />\'!~ ~~~i lYPE Of INSURANCE POUCY NUMBER ~~~::,g~ ~tJEX LIMITS <br /> ~.ERAL UABIlJTY HDOG23745070 & 09/01/200B 09/0112009 EACH OCCURRENCE S 1,000,000 <br />A X COMMERCiAl GENEfW..lIA.BIUTY CSZ0302505 AAEMISEsY~~~~e\ s 1,000,000 <br /> " CLAIMS MADE 0 OCCUR MEO EXP (Any one perwn) S 1,000 <br /> PERSONAL. & ADV INJURY S 1,000,000 <br /> GENERAl AGGREGATE S 2,000,000 <br /> n'~AGG~nE;~ APrlSPER PRODJCTS - COMP/O~ AGG S 2,000,000 <br /> POl.ICY ,jECT lOC S <br /> ~TOM08llE llABlUN HDOG23745070 & 09/0112008 09/0112009 COMBINED SINGLE LIMIT S INCLUDED <br />A ANY AUTO CSZ0302505 (E;1;1Cddent) <br /> l- <br /> I- AlL O'NNED AUTOS BODILY INJURY IN ABOVE <br /> s <br /> Ix SCHEDULED AUTOS (Perpersonl <br />I HIRSD AJTOS BODILY INJURY <br />= S <br />I ~ NON-QWNE.D A.UTOS (Per aeddenl) <br /> - PROPERTY DAMAGe. S <br /> (Pelacddenl) <br /> ~RAGE LlAalUlY AUTO ONLY. EA A.CCIDeNT S <br /> A.NY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGG S <br /> 3ESSAJMBREU..A lIAB1UTY EACH OCCURRENCE:: S <br /> OCCJR 0 CLAIMS MADE AGGREGATE S <br /> S <br /> ~ DEOUCTIBLE S <br /> RETENTION S S <br /> WORKERS COMPENSATION AND I T~~fItJils I I OJ.\' <br /> EMPLOYERS'LIABILITY E.l. EACH ACCIDENT S <br /> ANY PRO"RIETORIPARTNERlEXECJTlVE <br /> OFFlC€.R.lMEMBER. EXClUOEO'l E.l. O'SEAS~ - EA ~MPlOYE S <br /> If yes, dM;cribe under H. DISEAsE. POlICy LIMIT <br /> SPECIAL PRO\;";;IOl\:S t" low S <br /> OTHER <br />DESCRIPl10N OF OPERATIONS f LOCATIONS fVEHlCLES I EJ(.CLUSK)HS ADDED BY ENDORSEMENT' SPECIAl PROVISIONS <br />PrcMskm& of the policy apply to the named Insured's participation In the following activity dumg the policy period shown above: ZOO9 Cent&NdIe Fete des lacs Fesllval <br />CII)' of CenleMle Is lnoIuded as anAlldIlion8lInsured(s), but only with reaped to General Uebilily 8r11in9 out of the use of preni8es by the Instnd shown 8bove end not out of the SOle negligence of <br />said addmonallnsured. <br />PROVISIONS OF THE POlICY DO NOT APPLY TO THE SALE OR SERVING OF AlCOHOLIC BEVERAGES <br />CERTIFICATE HOLDER CANCELLATION <br /> <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION. <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAil.. ~ DAYS WRITTEN <br /> <br />NOTICE TO THE: CERnFICATE HOLDER NAMED TO THE lEFT, OUT FAtlURE TO DO SO SHAll <br />IMPOSE NO OBLIGATION OR UABILfTY OF ANY KINO UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVes. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />@ACORD CORPORATION 1989 <br /> <br />ACORD 25 t2001/08) <br /> <br />33 <br />