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ACCPREI CERTIFICATE OF LIABILITY INSURANCE L...--'" DATE(MM/DD/YYYY) 4/10/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ' ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED AEPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Paulet/Slater NAMg QT Bryan Stanley PHONE (651)694-0311 Ext) (AIC. No): OM) 641�t3967 711 Hale Ave NOrthAInQ�No Suite 101 St. Paul MN 55128 Ab rihss;betaf1eYDpaulets1ater.aom INSyRER(S) AFFORDING COVERAGE NAIO IF INSURERA;Illihois _Casualty INSURER B ; INSURED LT Corp' DBA: Marta, T's Castle Tap 2500 Ride St St Paul MN 55113 INSURER 0 ; INSURER p; SACH OCCURRENCE INSURER E: I SURER P ; CLAIMS•MADE CERTIFICATE NUMRER.15/16 LI THIS'IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ,INDICATED, NOTWITHSTANDING 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NN ILTR TYPE OF INSURANCE AOCL SUM POLICY NUMBER NPIMLt7O/YYYF MOI�SIYE LIMITS OOMMEROIAL GENERAL LIABILITY SACH OCCURRENCE $ CLAIMS•MADE OCCUR DAMAGE (En occurrence) $ MED EXP (Any ono person) $ PERSONAL & ADV INJURY ,J GEN'LAGGREGATE POLIOY. OTHER: LIMIT APPLIES JE PER: LOO GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE ____ _— LIABILITY ANY AUTO ALL OWNED AUTOS HIREDAUTOS SCHEDULED AUTOS NON -OWNED AUTOS a0 MBIIN DS SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Por acoidont ) $ PRgOPEERTY DAMAGE (Per accident) $ $ — UMBRELLA LIAB EXCESS MB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFIC8RAIEMB R EXOLUOED? (Mandatory In NH) Pes describe under DESCRIPTION OF OPERATIONS below Y 1 N N 1 A -Pt AR OTH- ER E.L. EACH ACCIDENT $ S.L. DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT A Liquor Liability LL95629 09/23/2015 6/30/2016 Each Occurrence $500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If moro space Is required) LOCATION OW INSUREDS PREMISES: 2500 RICE STREET, LITTLE CANADA, MN 55113 PROVXDSS HVXt HMCE or INSURANCE CANCELLATION (651) 766-4048 kathy.glanzerl§ai.little-aa City of Little Canada City Clerk City Hall 515 Little Canada Road Little Canada, MN 55117 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -�� effxey Stanley/J'22 @ 1988-2014ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (2n1481)