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04/17/2011 20:31 6517793660 <br />MISGEN INS <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER <br />Misgen Insurance Agency <br />1895 E County Rd E <br />White Bear Lake, MN 55110 <br />INSURED <br />PAGE 02/03 <br />IDATN(MMIDDIYYYY) <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 />Little Canada Recreation Assn. <br />515 Little Canada Rd. <br />Little Canada, MN 55117 <br />INSURERS AFFORDING COVERAGE <br />INOURERA: COp1(011nsurance <br />INSURER B: <br />INSURER C: <br />INSURER 01 Jy <br />i INsuaE((E: <br />NAI C k <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING COVERAGES <br />ANY MAY PERTAINS THE INSURANCE CONDITION <br />FFORDED BY HIE POCONTRACT <br />CIES DESCRIBED OTHER IE EIIN 5 DOCUMENT UBJECT TO ALL THE TERMS. EXCLUSIONS FAND CONDITIONS OR <br />POLICIES, AOOREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY EFFECTIVE POLICY EXPIRATI0TII <br />p Yry„_ rcn D TPAINMj0Om1 ) <br />7-29-2011 17.31.2011 <br />POLICY NUMBER <br />GENERALUA4ILITY <br />X I COIAMERCNL GENERAL LIABILITY <br />CLAIMSAIADE X) OCCUR <br />- ._ICP01314692 <br />3E1D. AGGREGATE Omit APPLIES PER I <br />00 I <br />AV TOM00ILE LIARILnv <br />• ANY AVT0 <br />. ALL O'A'NEO AUTOS <br />SCHEDULED AUTOS <br />�VIREO AUTOS <br />I VON•O'NNEDAUTOS <br />GAN10E UA011.1TY <br />I—,1 ANY AUTO <br />UMRS <br />00 OCCURRENCE 6 1,000,000 <br />100,000 <br />AEO EXP An acv PESO 6 5000 <br />Pf RSONAL4ADV INJURY S 1,000,000 <br />GENERAL ACTORECATE IS 1,000,000 <br />PRODUCTS.COMP /OPAGG 5 1,000,000 <br />000014(00 SINGLE 6,0111 <br />AEA aCC'dTM) <br />1 BODILY INJURY <br />It (POrpenOn) <br />BODILY INJURY <br />(POl 0001040) <br />I.EXCESS/UMBRELLA LULILITY <br />OCCUR Li CLAIMSMADE <br />I I OEOVCTIOLE <br />RETENTION 6 <br />WORKERS COMPENSATIONMID <br />EMPLOYCRA' LIABILITY <br />ANY PROPRIETORIPARTNENEXECWIVE <br />OCTLC 651004/024 EXCLU0C0' <br />111 yso, Onc0Ee Ode/ <br />SPECIAL PROVISIONS below <br />DTIIER Liquor Liability <br />DESCRIPTION OF OPERATIONS I1.0CA (IONS <br />IV <br />16 <br />;6 <br />S <br />PROPER DAMAGE <br />(w A <br />AUTO ONLY .SA ACCIDENT 3 <br />O ➢IERnwa EA ACC 3 <br />1 AUTDONLY. ASS I $ <br />EACH00CURRENCE IS <br />I AOOREGAYE �5 <br />IiCP01314692 <br />jWC STATV. OT ' <br />1 TORYIJMNO, J 00 <br />7-29 -2011 17 -31 -2011 <br />(CLES l EXCLUS10113 ADDED ay ENDORSEMENT I SPECIAL PROVISIONS <br />CERTIFICATE HOLDER <br />City of Little Canada <br />515 Little Canada Rd. <br />Little Canada, MN 55115 <br />CANCELLATION <br />5 <br />FL, EACH ACCIDENT 6 <br />IE I. DISEASE. EA EMPLOYEES $ te" <br />E L. DISEASE • POLICY OMIT IS <br />$500,000 <br />ACORD 25 (2001/00) <br />SHOULD ANY OF RIE ABOVE 0E365(0E0 '00456504 CMICELLOD ettORC 0Me ESEIRATION <br />DATE TREREOP. THE ISSUINV IN300E WILL. ENDEAVOR TO MAD. DAYS WRITTEN <br />NOTICE 10 TIIE 6001l'ICATe MOLDER NAMED 50 111 LEFT. OVT .MLURE TO 00 50 SHALL <br />I1.10006 HO OOUGAT60N OR L60.016 ' % ill. 0000 Lp 14(30409, 06 MKNT3 OR <br />NkPRC6F11TATIV6S. / Ara <br />I <br />4 41111 <br />009220 REPRCBENTAT <br />5 <br />ORPORATION t980 <br />