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LIQUOR LIABILITY <br />"'RTIF:ICATE OF INSURANCE <br />MINNESOTA JOINT UNDERWRITING ASSOCIATION <br />12400 PORTLAND AVE S, STE 190 Page <br />BURNSVILLE, MN 55337 <br />This certificate of insurance is issued as a matter of information only and confers no rights upon the Certif <br />This certificate does not amend, e::tend or alter the °average afforded by the policy listed below. <br />Policy Number: <br />e Holder. <br />L150023 Policy Period: FROM 1/31/2015 TO 2/01/2015 <br />INSURED: <br />LITTLE CANADA RECREATION ASSN. <br />MICHAEL J MORELAN <br />515 LITTLE CANADA RD <br />LITTLE CANADA MN 55117 <br />1 <br />12:01 AM Standard Time <br />AGENT: 4887 <br />TIM ZAREMBINSKI INSURANCE AGENCY <br />2345 RICE ST. #125 <br />ROSEVILLE MN 55113 <br />PHONE: 651/486-7066 <br />THE MJUA XS PROHIBITED BY STATUTE FROM PROVIDING PRODUCTS AND COMPLETED OPERATIONS COVERAGE <br />NEW POLICY <br />LIQUOR LIABILITY <br />This is an audited policy and premium adjustments are made at the end of the policy period. <br />This is to certify that the Poiicy described herein has been issued to the Insured named above and is in forge at Chis time. <br />Notwithstanding any requirement, term or condition of any Policy or other document with respect to sihich this certific=_te may be <br />issued or may pertain, the coverage afforded by the Policy described herein is subject to ell terms, e..clusions and conditions of <br />such Policy. <br />The Described Location(s) covered by this policy are as follows: <br />GERVAIS LAKE COUNTY PARK, 2420 EDGERTON ST, <br />COVERAGE <br />L. <br />LITTLE CANADA, MN 55117 <br />LIMIT <br />duct1ble Amount_: NONE <br />Bodily Injury <br />Property Damage <br />Loss of Means of Support <br />Pecuniary Loss <br />Annual Aggregate <br />Per. Claimant. <br />(Each Person) <br />(Each Occurrence) <br />(Each Occurrence) <br />(Each Person) <br />(Each Occurrence) <br />(Each Person) <br />(Each Occurrence) <br />Business Description: SPECIAL EVENT <br />LIQUOR LIABILITY <br />Certificate Holder: <br />J CITY OF LITTLE CANADA <br />515 LITTLE CANADA ROAD, E. <br />LITTLE CANADA 55117 <br />- SHORT TERM, <br />LIQUOR <br />$50,000 <br />$100,000 <br />$10,000 <br />$50,000 <br />$100,000 <br />$50,000 <br />$100,000 <br />$300,000 <br />NONE <br />DEC <br />lfll' c7i° L.III'Ll'7 CANAI), <br />Should the above policy he cancelled before the expiration date thereof, the Association will <br />endeavor to mail. 60 days written notice to the above named certificate holder, but failure to <br />mail such notice .shall impose no obligation or. .liability of any kind upon the Association. In <br />the event the cancellation is for non payment of premium, the Association will mai]. a 10 day <br />written notice. <br />12/29/14� <br />- ^ " Y <br />COUNTERSIGNATURE DATE <br />* CERTIFICATE HOLDER * OUR AUTHORIZED REPRESENTATIVE <br />1/31/15 1/31/15 <br />End of Certificate For. Location 1 Building 1 <br />3 <br />