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1 ® AC"R® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 04/17/2018 THIS CERTIFICATE IS ISSUED ASA 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 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or 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 North Risk Partners -Apollo Division CONTACT Joann Therrien NAME: AHeNf4 Ext : (320)253-1122 qfc Not: (855)927-6655 EMAIL ) @p oannt a olioinsurance.com ADDRESS: 622 Roosevelt Road INSURER(S)AFFORDING COVERAGE NAIC A Suite 240 St Cloud MN 56301.6363 INSURERA : Illinois Casualty Company 23456 INSURED INSURER B: Milwaukee Casualty Insurance 26662 Spitzley Enterprises Inc., dba Ole Piper Inn INSURERC : INSURER D : Central Spirits Liquor Store INSURER E: 1416 93rd Lane INSURER F: Blaine MN 55449 COVERAGES CERTIFICATE NUMBER: 17/18 REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER POLICYEFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS Mounds X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S 1,000,000 CLAIMS -MADE %N OCCUR T RENT EU100,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ Excluded PERSONAL&AOVINJURY $ 1,000,000 A BP35286 07/01/2017 07/01/2018 LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 PRO- ❑LOC 0JECT M'OTHER: 2,000,000POLICY PRODUCTS-COMP/OPAGG $ $ AUTOMOBILE LIABILITY COM13INED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BP35286 07/01/2017 07/01/2018 BODILY INJURY (Per accident) $ P OPER deal $ Hired/NonOwned $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAR CLAIMS -MADE UL15087 07/01/2017 07101/2018 OED I X RETENTION $ 10,000 S B WORKERS COMPENSATION AND EMPLOYERS` YIN LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory in NH) NIA MWC101$879 07/0112017 07/0112018 �/ /� STATUTE ERH E.L. EACHACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Liquor Liability LL96980 07/01/2017 07/0112018 Occurrence 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) r';=PTIRIRATP WnI 11FR CANCELLATION O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mounds View ACCORDANCE WITH THE POLICY PROVISIONS. 2401 County Road 10 AUTHORIZED REPRESENTATIVE View MN 55112 a4t4 Mounds iA^V� O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD