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ACQRD,,, CERTIFICATE OF LIABUJTY INSURANCE <br />ODUCER <br />Misgen Insurance Agency <br />1895 East County Rd E <br />White Bear Lake, MN 55110 <br />IN URED <br />COV <br />AGE <br />Little Canada Recreation Assn. <br />515 Little Canada Rd E. <br />Little Canada, MN 55117 <br />DATE (MMJDD!YYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURER A Capitol <br />INSURER B. <br />INSURER C <br />INSURER 0 <br />INSURIRE <br />NAIC # <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM QR 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 FIAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR AbrA: POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSET> Typor P CY NUM t Nit _ T 11, [1 LIMITS <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />X CLAIMS MADE OCCUR <br />CP02455354-03 <br />GENT_ AGGREGATE LIMIT APPI IFS PER <br />. <br />POLICY JPFRT,Qf LOC <br />: EACH OCCURRENCE <br />'"CiAkikOcco tkEN <br />PREMISES (En nccorono.n) $ <br />MEI) EXP (Any ono ()arson) $ <br />1.000.000 <br />100,000 <br />5,000 <br />9/19/2015 9/19/2015 PERSONAL & ADV INJURY $ 1.000,000 <br />GENETtAL AGGREGATE s 1.000,000 <br />PRODUCTS COMP/OP AGG $ 1,000,000 <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AU ros <br />sc Huzimm AUTOS <br />HIRED AUTOS <br />NON•OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea (eno <br />BODILY INJURY <br />(Poe [101ton) <br />BODILY INJURY <br />(Por =Muni; <br />PROPERTY DAMAGE <br />(Per accolonh <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONI.Y - EA ACCIDENT $ <br />EA ACC 1 $ <br />OTHER THAN <br />AUTO ONLY: AGG 5 <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />omucimis <br />RETENTION 5 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPMETORTARTNER-EXECUTIVE <br />orEICERAIEMBER EXCLUDED, <br />y05, !Jescribe <br />SPECIAL PROVISIONS h(low <br />EACH OCCURRENCE 5 <br />AGGREGATE S <br />$ <br />$ <br />WC smut- OTH-, <br />TORYI,INVI5 <br />(3L EACH ACCIDENT 5 <br />E L. DISEASE • EA EA1PLOYEE 5 <br />L DISEASE POLICY LIMIT $ <br />OTHER Liquor Liability <br />CP02455354-03 9-19-2015 9-19-2015 <br />IPTION OF OPERATIONS / LOCATIONS 1 VEHICLES !EXCLUSIONS AWE( Y ENDO <br />CERTIFICATE HOLDER <br />CANCELLATION <br />500,000 <br />Alcohol & Gambling Enforcement Division <br />444 Cedar St. <br />Suite 133 <br />St. Paul, MN 55101-5133 <br />ACORD 25 (2001/08) <br />HOULD ANY OF Tile ABOVE DESCRIBED POLICIES tie CANCELLED 9.14 On THE EXPIRATION <br />ATE THEREOF. THE L NO INSU 13 WILL. ENEIEAy0 ,____, ,,,,, OATS WRITTEN <br />/ <br />NOTICE TO THE' TO THE LE FAILURE TO 00 SU SHALL <br />,..., <br />IMPOSIT NO 0 IND UPON E INSURER. ITS AGENTS OR <br />- NT <br />ATION <br />