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04/17/2011 20:31 6517793660 <br />MISGEN INS PAGE 03/03 <br />ACORD,N CERTIFICATE OF LIABILITY INSURANCE I BAYC(NAVDnrmv) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. Tt E COVERAGECAF AFFORDED BY THE POLICES <br />A 9ELOW. <br />1 <br />INSURERS AFFORDING COVERAGE ; 1 NAIC# <br />;NSuRER m: CaPROI Inourancc <br />INSuRER0: <br />INSURER C: <br />INSURER 0: <br />INSURER E• <br />,t000CER <br />Misgen Insurance Agency <br />1895 6 County Rd E <br />White Bear Lake, MN 55110 <br />INSURED Little Canada Recreation Assn. <br />515 Little Canada Rd. <br />Little Canada, MN 55117 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOIW ITHSTANOING <br />ANY REQUIREMENT, TERM oR CONDITION OP 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 />PoLi LIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />pp POLICY efFEOTIVE POLICY EXPIRATION LINrt3 <br />B54 TYPEDFIRRURANOE i POLIOYNOMOER li DAISIMM(DDTY'A I DA) PliefoDMD 1 <br />�CIE^EIW. LABILITY I UMW: TO (1 NTEO <br />X COMMERCIrV,OENCRAL LIABI m1' i I,p/SPNJOE6lfooccwencol 6 <br />MED EXP )Any one *4(10 ".) 5 <br />I I— 1 CLALNSMADE I, X.I OCCUR <br />I CPO'1314692 9 -17 -2011 9- 17.2011 PERSONAL .AOV INJVRY s <br />GENERAL AOOREGATE 3 <br />PR00uCTS- COMP,OP AGG S <br />OEN'LAGCREGATE LIMIT APPLIES PER t <br />1 <br />PoucY f PE i t 1 LOC <br />AUt0MOHILEUARILRY <br />ANY AUTO <br />AILOWNEDAUT09 <br />$CHEOULEDAUS09 <br />HIRED AUTOS <br />NON.OWNE0AUTOS <br />CAB AGE ua01UTY <br />ANY AUTO <br />ExCG501UMona4A L!?uILrtt <br />00006 i_..J CLAIM6 MADE <br />1 otOUCTIOLE <br />RETENTION 5 <br />I <br />I <br />I <br />VrORKERSCOMPCNSATtON AND I <br />sMpLo VSAs 'LIAOLYN <br />i <br />1 OEIIm0661 AXRCLTNUEDRD ECUirvE 1 <br />9PecIAL PAOUITIONS oalow <br />OPIEA Liquor Liability ICP01314692 9-17-2011 b-17-201 <br />DESCRIP ➢ON Of OPeRMIoN6)L0CAT10N61VENIC•IES IO XCLUSIONSAOOIO ay ENBOROEMENT, .PEc,ALPROVIeION6. <br />1.000.000 <br />100,000 <br />5000 <br />000,000 <br />1,000,000 <br />1,000.000 <br />COMBINED SINGLE LIM <br />(EA acdeool) <br />0001LY INJURY <br />(Pot oonOel <br />BODILY INAXIX <br />(Per aCCLA)0) <br />PROPERTY OAMACE <br />(Per accMonl) <br />AUTO ONLY EAACCIOENT S <br />OTHERTNAN <br />EA <br />AUTO ONLY: AC0 S <br />EACHOCCURRENCE 9 <br />AOGRECATE 6 <br />CSLATU- I 0 M <br />5 <br />5.5 EACHACCIDENY b <br />E.L UI9E5SE CMPLOYESI $ <br />54,. 0155565 • POLI0Y LIMIT 3 <br />$500,000 <br />CERTIFICATE HOLDER <br />City of Little Canada <br />515 Little Canada Rd. <br />Little Canada, MN 55115 <br />CANCELLATION <br />BIIONLD ANY OF THE ABOVE 0E50810E0 POLICIES OE CANCELLED BEfORE THE EXPIRATION <br />()ATE THEREOF, TOD ISSUING ,NSURE L yW ENDEAVOR TO MAIL DAYS WRITTEN <br />NOTICE. TO ME CERTIFICATE HOLDER NANN.0 TO 511E LE' BUT FAILURE TO 00 60 SHALL <br />IMPOSE NO OBLIGATION OR LIAB,LtwY 0r ANY AN/0 N YHY IIIYVM1IP, 150 AGENTS OR <br />REPRESENTATIVES. Y <br />VOIORQEO REPRESENTATIVE <br />AGORO 25 (7001100) <br />7 <br />