Laserfiche WebLink
04/17/2011 20:31 6517793660 <br />MISGEN INS <br />ACORD r. 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 />Little Canada Recreation Assn. <br />515 Little Canada Rd. <br />Little Canada, MN 55117 <br />PAGE 01/03 <br />DAT E IMMNOITYTY) <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 POLIcias BELOW, <br />I NAIL # <br />INSURERS AFFORDING COVERAGE <br />INSURERA: Capitol IOSU(On00 <br />INSURER 9' <br />1NSURERO. <br />INSURER O' <br />I INSURERS: <br />COVERAGES <br />THE POLICIES OF INSUaANOE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N0IWITHSTANOING <br />MAY PERTAIN, THE INSURANCE AFFORDED BY NAY E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL RESPECT TO WHICH THIS TERMS, EXCLUSIONS fAND CONDITIONS 09 SUCH !CATE MAY BE <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY EFFECTIVE POUCYEXPI"tLON <br />�1-- iLEULmc>n"0 <br />e 1R1 RANG - POLICY NUMAER <br />OEPERAL LlABUTV <br />I. X i COMMERCIAL GENERAL"uMOITY <br />AL <br />I CLAIMS MADE ^l OCCUR <br />DENT AGGREGATE LIMN APPLIES PER' <br />IPOLICY) 11(a I 11,00 <br />AUTUM001Le LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULE() AUTOS <br />I 1 HIVED AUTOS <br />NO,wOWNW AVT03 <br />0A4LACE LIAO /LILY <br />ANY AUTO <br />CP01314692 <br />10.28.2011 1 10. 28.2011 <br />LIMBS <br />EACN000URRENCE i 1 1,000,000 <br />DAMAGGTO NUNitu 1 100.000 <br />PREA1159C IEO QQ$a,n''AI 5 <br />MEO EXP(MyMBsere0n) 1 S 5000 <br />IPERSONAL AAOV INJURY IS 1,000,000 <br />I GENERALACCRENATC I S 1 000.000 <br />PRODUCT$- COMPIOP AGO IS 1,000,000 <br />OOMoINEO SIIIGLE LILOT <br />(Ea ntcbon0 <br />000ILY INJURY <br />If NepanoA) <br />18 <br />BODILY MJUFV <br />Iroraaidtrn) <br />PROPERTYOAMACe <br />(Pot H.2,6B16 <br />AUTO ONLY- EAACOIOENT 1 $ <br />EAACC , S <br />AGO 18 <br />EACH OCCURRENCE I $ <br />AGGREGATE J1 <br />Ia <br />0THER NAN <br />I AUTO ONLY: <br />E<et$3 /UMORELL LIAOW1 <br />OCCUR 1 CLAIMS MA% <br />I DEDUCTIBLE <br />I <br />RETENTION S <br />I WORKERS COMPENSATION APO <br />EMPLOY RO'L,AOILITY <br />ANY PRO RIETONPAOTNEVEALUUTNE <br />OFFICER/ %EMBEREXCLUDED? <br />If yot. pm NOB /A/W <br />`) SPECIAL PROVISIONS 9010'Y <br />OTHER Liquor Liability <br />ICP01314692 <br />WC 9TATV 1 -T'OTN. <br />I TORY I agtO( 1 sn <br />O L.EACHACCIOE■T I <br />F.L OISEASB - EAEMPLOVEEI $ <br />E L. DISEASE • POLICY LIMIT Id <br />DESCRIPTION OF OPERA11ON9i LOCATIONS / VEHICLES /EXCLUSIONS AOOEO OY ENOORS <br />10-28-2011110-28-20111 <br />i I <br />Nn JPECIAL PR0Yl010N> <br />$500,000 <br />CERTIFICATE HOLDER <br />City of Little Canada <br />515 Little Canada Rd, <br />Little Canada, MN 55115 <br />ACORD 25 (2001 MB) <br />CANCELLATION <br />SHOULD ANY Of 111GABOVE OeSCRrtO POLICIEa OE OAK 6l4E0 BEE ORE THE EXPIRATION <br />OATS THEREOF, 111E 158111N0 INSURER YOU. ENDEAVOR TO MALL DATA WRITTEN <br />NOTICE TO THE CERPFICAIL DOL DER NAMED TO n16 LELT, OUT FAILURE 10 00 90 SHALL <br />IMPOSE NO OBLIGATION OR LIA911.RY Of AN KING UUPPO. 1 ne INSUM1EH, as Aa8N1C OR <br />Lilt N AGO <br />AUTMOPJZEOREPRESENTATNE <br />9 <br />D CORPORATION 1988 <br />