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A� o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) F 11/30/2021 THIS CERTIFICATE IS ISSUED AS A 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(ies) 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 Aon Risk Services central, Inc. Kansas City MO Office CONTACT NAME. (A/C. No. Ext): (866) 283-7122 ((A No.): 800-363-0105 E-MAIL ADDRESS: 4801 Main Street suite 350 INSURER(S) AFFORDING COVERAGE NAIC # Kansas City MO 64112 USA INSURED INSURER A: ACE American Insurance Company 22667 AMC Entertainment Holdings, Inc. American Multi -cinema, Inc. One AMC Way INSURERB: Indemnity Insurance Co of North America 43575 INSURERC: ACE Fire Underwriters Insurance Co. 20702 11500 Ash Street Leawood KS 66211 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570090443068 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADD INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY XSLG7 4 7 1 1 EACH OCCURRENCE $4, 000, 000 CLAIMS -MADE X❑ OCCUR SIR applies per policy terns & conditions DAMAGE TO RENTED PREMISES Ea occurrence $4,000,000 MED EXP (Any one person) Excluded PERSONAL & ADV INJURY $4, 000, 000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $10,000,000 X POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $10,000,000 OTHER: Liquor Liability Lmt $3 , 000 , 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY ( Per person) ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HI RED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB HCLAIMS-MADE DED I RETENTION B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A WLRC68927420 AOS SCFC68927389 WI 01/01/2022 01/01/2022 01/01/2023 01/01/2023 X I PER STATUTE I OTH- ER E.L. EACH ACCIDENT $1, 000 , 000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Mounds View 15 - unit 4282 - 2430 Co Hwy 10, Mounds View, MN 55112. Liquor Liability is included under the General Liability policy. m cc 0 7 0 0 0 LO CERTIFICATE HOLDER CANCELLATION 5.n SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. city of Mounds View AUTHORIZED REPRESENTATIVE 2401 Mounds View Boulevard Zs Mounds View MN 55112 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD