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'—MqN ACCII � CERTIFICATE OF LIABILITY INSURANCE DATE ;e""°Q"Y"' CANCELLATION l PRODUCER Main Street a THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION Willis of Illinois, Inc. DATE THEREOF, THE ISSUING INSURER WILL EIOEAVORTO MAIL DAYS WRITTEN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 233 S. Wacker Drive, Suite 2000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Chicago. IL 60606 REPRESENTATIVES. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone: (800) 376.6705 Fax: (312) 234.0636 INSURERS AFFORDING COVERAGE NAIC M INSURED INSURER A ACE American Insurance Company 22667 Centerville Lions Club Minnesota INSURER b I INSURER C INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NYWTTHSTANONG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE? ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSRIAp�pTT LTR 41% TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMMIDDIYYYYI DATE (MMIDDIYYYY) LIMITS GENERAL LMSIUTY HDOG24934044 09101/2(109 09/01/2010 EACH OCCURRENCE $ 1,000.000 A MERCIP GENERA LIABILITY UAMA't III % to I I PREMISES (Ea src arcs) $ 1,000.000 !P 'I-AIMS MADE X OCCUR I WED EYP (Any me OnrsonJ $ 1.000 PERSONAL B AOV INJJR Y f 1,000,000 1 GENERAL AGGREGATE S 10,000,0001 GEN L AGGREGATE LIMIT APPLIES PER IPRODUCTS- COMPIOP AGf,. S 2,000,0001 cR0 n LCC Jl I POLICY .ECT " AGG PER NAMD INS I 1 2.000,0001 AUTOMOBILE LIABILITY — HDOG24934044 09101/2009 09101/2010 CO M BI NED SINGLE LIMIT 4 INCLUDED A ANY AUTO EA acc Aertl) EA ALL �'ANEDAUTOS BODI $ IN ABOVE SCHECULEDAUTOS (Per Rerer SonOn) X HIPEDAUTOy bOOLLS NJVRr S X NON- OVadEDAl1TOS (Per aced t) PROPERTY DAMAGE S (Per acad�n GARAGE LIABILITY AJTO ONLY - EA ACC IDE14T T ANY AUTO (OTHER THAN EAACC T AUTO ONLY AGG S EXCESS I UMBRELLA LIABILITY I EACH OCCURRENCE S OCCCJR ❑ CLAIMS MACE I AGGREGATE S I : � DEDJCTIELE I $ I RETENTION T S WORKERS COWENSATION AND K SI Al F lH- (TORY LIMITS L EP EMPLOYERS'LIABILITY ANY FROFRIETGRfPARTNER�EAE7UTIVEa I E L EACHACCIDENT S ,IGCIIFO,AIFMFZA F Vr(I If�FiV (Mandatory NMI JILL UI �tAJt -tA tMPLUIt > s cP IrLm Par lmClrlNG nnln„ I EL DISEASE - POLICY LIMIT $ OTHER DE &.PoPTION OF OPERATIONS I LOCATIONS 1 VEHC_ES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PF1OVuWNS Provisions of the policy apply to the named Insureds participation in the following activity during the policy period shown above. Easter Egg Hum City of CentervlIto a Included as an Additional Insured(s), but only with respect to General Liability arising out of the use of premises by Me Insured shown above and not Out of the sole negligence of avid additional insured PROVISIONS OF THE POLICY DO NOT APPLY TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES CERTIFICATE HOLDER CANCELLATION C'Ay of Centerville SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION Main Street a 30 Cent Minnesota 55°38 Came DATE THEREOF, THE ISSUING INSURER WILL EIOEAVORTO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHLALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATVE john /E. Adams ACORD 25 (2009101) 0 INS -2009 ACORD CORPORATION. All rights reserved.