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02/04/20 <br />CERTIRCATE OF INSURANCE <br />[P .b 7U C E R T141S CERT]FICATE IS ISSUED AS A MASER OF INFORMAIIION <br />American Specialty InSUrance Services, Inc. ONLY 'AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, IEXTEND, OR <br />North I n Street ALTER THE COVERAGE AFFORGED BY THE POLICY BELOW. <br />-Roanoke, Indiana 46783 . ..... . <br />INSURED INSURERS AFFORDING COVERAGE <br />USA Water Ski, Inc. INS. A: Philadelphia Indemnity Insurance CompanV <br />1251 Holy Cow Road INS. B: <br />Polk City, FL 33868-8200 INS, C: <br />LAKE OWASSO SAFE BOATING ASSOCIATION <br />460 WEST HORSESHOE DRIVE <br />SHOREVIEW, MN 55126 <br />CENT NUMBER: 10010604215 <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED, BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOT VWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUStONS AND COND;TI10N OF SUCH, POLICIES. AGGREGATE LIMITS SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS POLICY POLICY POLICY <br />LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS <br />General AggreR,ate Per Event 2 <br />'000,000 <br />GL PHPK282097 01/011/2008 0110112009 Products-Completed gperations Aggregate 2,000,000 <br />Personal �an�d Advertising Injury 1,000,000 <br />A 12-01 a.m. 12,01 a.m. Each Occurrence 1,000,0100 <br />Damage to Premises Rented to You ,(Any 0 e Premises) - --- --- 11,0001000 <br />Med i1cal, Exp ens eLirnjt Are One Person) - Excluded <br />------------ <br />............. . ..... <br />DESCRIPTION OF OPERATIONS/LOCATIONSN�EHICLESIEXCLUSI,ONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Evidence of in urn coverage only. <br />CERTIFICATE HOLDER CANCELLATION <br />1 COUNTY OF RAMSEY, ITS OFFICIALS, EMPLOYEES, AND VOLUNTEERS SHOULD ANY OF THE ABOVE DESCRIBED <br />85 E' ADNAIS BLVD POLICfES BE CANCELED BEFORE THE <br />VA,DNAIS HEIGHT, MN 551217 EXPIRATION DATE THEREOF, THE ISSUUING <br />COMPANY WILL ENDEAVOR TO MAIL 30 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE <br />HOLDER, BUT FAILURE TO MAIL SUCH NOTICE <br />SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY, ITS <br />AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />. . .. ..... . . .... .. .... . ...... . . . <br />