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A4C Rd CERTIFICATE OF LIABILITY INSURANCE DATE11IDDITY M <br /> .. 1PoY 2008 <br /> �r <br /> I PRODUCES/ THIS CERTIFICAT ON 13 ISSUED AS A MATTE OF INFORMATION <br /> Wills c4 Minas, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 33 S. Wacker Chive, Suite 2000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Nags X 60606 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phone: (800) 3168705 Felx: (312) 234-0636 INSURERS AFFORDING COVERAGE NNC # <br /> INSURED INSURERA ACE American insurance Canpany 22867 <br /> Centerville Lions Club INSURER B <br /> Minnesota <br /> INSURER C. <br /> INSURER D. <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE USTED 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 DESCRBED HEREN IS SUB /ECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LTNSAI TOE OF INSURANCE POLICY NUMBER DA ( Y11 DDAAT61M IDPIRAWIN <br /> uMrts <br /> OMM RAL LIABILITY 09/01/2009 09Al2010 EACH OCCURRENCE $ 1,000,000 <br /> A X COAVAERCIPL GENERAL UASILR H00024934044 Y PREMI� $ 1,000,000 <br /> CLAIMS MADE 0 OCCUR MID ECP (Any an poison) $ 1.000 <br /> PERSONAL & AOV INJURY $ 1,000.000 <br /> _ SEVERAL AGGREGATE $ 10,000.000 <br /> GENt AGGREGATE LIAR APPLIES PER PRODUCTS • COMP/OP *Ott $ 2,000,000 <br /> In POLICY _ , n LOC AGG PER NAIAD INS $ 2,000,000 <br /> AUTOMOBLS HOOG24934044 09 /01/2009 081012010 COMBINED LE LB <br /> EDSNGIM <br /> A — Arvrwro (Ee , t INCLUDED <br /> — <br /> ALL OWNED AUTOS BODILY KURT IN ABOVE <br /> SCHEDULED AUTOS (PM paean) $ <br /> X ROREDAUT06 BODILY NAVY <br /> X NON-ON.t1ED AUTOS (P accidEa) e <br /> PROPERTY AGE s _ <br /> NM <br /> IPSw *cadet) <br /> GARAGE LLVLRY AUTO ONLY •EA ACCIDENT $ _ <br /> 1 ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY. AGO $ <br /> laxness' WMSLA LIAWTY EACH OCCURRENCE $ _ <br /> I OCCUR El cumin hum AGGREGATE $ <br /> e _ <br /> DEDUCTIBLE 4 <br /> — <br /> RETENTION $ $ <br /> EPLOreaa "AND I TORVLIA % E L S I <br /> ANY PROPRIETORNMTTDOEJlCUTVE EL. EACH ACCIDENT $ <br /> ORICERNEMBER EXCLUDED1 <br /> ( a.alfl inp EL DISEASE - EA EMPLOYEE $ <br /> o PROVINCINA below EL. DISFABE•POLCYLIMR $ <br /> OTHER <br /> DESCRIPTION OF OPIRATIONSILOCATION61VESCLES IEXCLRSONS AWED SY soceseseer 1 SPECIAL PROVISIONS <br /> ProWSlons of the policy apply to the named insureds participation in the following activity during the policy period shown above: 2010 Centerville Lions Ice Fishing Contest <br /> City of Centerville Is Included as an Additional Insured(s), but only with respect to General Liability arising out of the use of premises by the Insured shown above and not out of The sole negligence of <br /> said additional Insured. <br /> PROVISIONS OF THE POLICY DO NOT APPLY TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES <br /> CERTIRCATE HOLDER CANCELLATION <br /> I Cey of Cen Min n e IND= AN' OPTS MOVE CANCLL sosaroLET1E EPIRUION <br /> 1880 Mein S beet <br /> Centerville Minnesota 55038 DATETHEEOF, THE MUNE EMOt AWLL ENDEAVOR TO MAIL 30 DAYS WRITTIN <br /> NOTICE TO TOE CER1PICA1E HOLDER NAMED TO TIE LEFT, IAN FAILURE TO DO SO MALL <br /> IMPOUND OSLIGAIIGNOR LWILITY OF ANY MO UPON TINS) INSURER, ITS AMENS OR <br /> I REPRESENTATIVES. <br /> AIRRORIZEt RE RE7BITATK <br /> John E. A&fams <br /> ACORD 25 (2009101) • 019893009 ACORD CORPORATION. All rights reserved, <br /> 33 <br />