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DATE(MWDDIYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 05I10I2022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the cerlIfl"Ie hvidor Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and condlllons of the policy, certain POIICIea may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder In lieu of such endorsoment(s). <br />PRODUCER <br />Aon Risk Services Southwest, Inc. <br />Dallas TX office <br />CONTACT <br />PXE (866) 2t13-7122 FAX (800) 363-0105 <br />"� "a.EcUo A/� H° <br />E4l1UUL <br />ADDRESS: <br />5005 Lyndon B ]ohnson Freeway <br />suite 1$00 <br />INSURER(8) AFFORDING COVERAGE <br />NAiC R <br />Dallas TX 75244 USA <br />INSURED <br />INSURER A! ACE American insurance company <br />22667 <br />INSURER B: <br />SEI speedway Holdings, LLC <br />3200 Hackberry Road <br />Irving TX 75063 USA <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />Y•nvcoenec CFRTIFICATF PJI IM€ir P- 57DO8qAi83334 REVISIDN NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as ro Daalad <br />WaR <br />TYPE OF INSURANCE <br />AODL <br />3Vl}H <br />POLICYNUMBFJt <br />PQLICYEFF <br />POLICY F.XP <br />LIMBO <br />COMMERCIAL GENERAL <br />EACH OCCURRENCE <br />ILIABILITY <br />CLAIMS -MADE 1 I OCCUR <br />II_LL <br />DArv,OEE F E /TED <br />En axunm��e <br />oRFMISEB IF <br />NED EXP (Any ono parson) <br />PERSONAL A. ADV INJURY <br />GEH'LAGGRI=GIAIELE LjUAIr AIV ES PER <br />GENERAL AGGREGATE <br />POLICY I IP.- �LOC <br />I_I <br />PRODUCTS - COMP/OP AGO <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMB WEO SINGLE LIMIT <br />BODILY INJURY (Ile, person) <br />ANYAUTO <br />000tLY INJURY Me mcx,danll <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDAUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Pe,eWdran <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />EXCESSLWB <br />CWMS•MADE <br />OED RETENTION <br />WORKERS COMPENSATION AND <br />I PER STATUTE I -OTH <br />EMPLOYERS'L"11TY <br />EL EACH ACCIDENT <br />ANY PROPRILTOR/PARTNER /EXECUTIVE <br />OFFICERWuory InEMBER EXCLUDED? <br />IMandNH) <br />N I A <br />E L DISEASE -EA EMPLOYEE <br />II yes, dauAbe under <br />J DESCRIPTION OF OPFRATIONS Dolow <br />E.L. DISEASEPOLICY LIMIT <br />A <br />Liquor Liab Cvg <br />HDoG72486870 <br />07/01/2022 <br />07/01/2023 <br />Per Occurrence <br />$1,000,000 <br />Aggregate <br />$1.000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional RonnuM Schadulo, may bo sdachad R moro Spam Is mquirad) <br />RE: 7-Eleven Loc. 46464; speedway #4264, 2640 County Rd I. Mounds view, Minnesota, 55112 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS, <br />cityof Mounds View <br />AUTHORRED REPRES ENTATWE <br />2401 Mounds view Blvd. <br />Mounds view MN 55110 USA <br />01988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (201W03) The ACORD name and logo are registered marks of ACORD <br />