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Agenda Packets - 2021/07/12
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Agenda Packets - 2021/07/12
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2/25/2025 2:51:34 PM
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MV Commission Documents
Commission Name
City Council
Commission Doc Type
Agenda Packets
MEETINGDATE
7/12/2021
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AC R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) <br />04/28/2021 <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 <br />BELOW. 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 certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rig his to the certificate holder in lieu of such endomement(s). <br />PRODUCER CONTACT Tim Anderson <br />NAME: <br />AssureclPartners of Minnesota LLC AICNNe (651) 644-7200 l;/c Nn : (651) 644.9137 <br />2361 Hwy 36 W tim anrlrrrennristaaa�ira in�.inorn - m <br />INSURER(S)AFFORDING COVERAGE NAIC N <br />St. Paul MN 55113 INSURER A : West Bend Mutual 15350 <br />INSURED INSURER B : Wesco Insurance Company 25011 <br />Big Ten Supper Club, Inc. <br />INSURER C <br />4703 North Hwy. 10 INSURER D : <br />INSURER E : <br />Arden Hills MN 55112 <br />INSURER F <br />C0VFRA1RFR L`FRT1CIlfATC allraa IMr D- 91-99 <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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. <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />Y?VD <br />POLICY NUMBER <br />MIOILICY FF <br />POLIII� EXP <br />LIMITS <br />x COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS <br />-MADE OCCUR <br />PREMISES Ea occvrcence <br />s 300,000 <br />MED EXP(Any oneperson) <br />$ Excluded <br />PERSONAL&ADVINJURY <br />S 1,000,000 <br />A <br />185153008 <br />03/27/2021 <br />03/27/2022 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />ERALAGGREGATE <br />$ 2.000.000 <br />POLICY JECTT <br />[P-1DUCTS <br />LOC <br />-COMP/OPAGG <br />S 2,000,000 <br />OTHER: <br />1$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />ANYAUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />185153008 <br />03/27/2021 <br />03/27/2022 <br />BODILY INJURY Per accident <br />( ) <br />$ <br />HIRED FX NON -OWNED <br />_ AUTOS ONLY AUTOS ONLY <br />PRDPERTYOAMAGE <br />Mar <br />$ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />EXCESS LIAB <br />[I <br />AGGREGATE <br />$ 1,000,000 <br />CLAMS -MADE <br />185153008 <br />03/27/2021 <br />03/27/2022 <br />DED I ? RETENTION S 0 <br />WORKERS COMPENSATION <br />PER PTH_ <br />S <br />ARID EMPLOYERS' LIABILITY Y / N <br />STAT TE _ ER <br />E.L EACHACCIDENT <br />$ 100,000 <br />B <br />ANY PROM IETOWPARTNER/EXECUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />NIA <br />WWC3477347 <br />07/01I2020 <br />07/01/2021 <br />E.L. D1SEA$E- EA EMPLOYEE <br />; 100,000 <br />(Mandatory in NH) <br />If yea, describe under <br />El. DISEASE- POLICY LIMIT <br />$ 500,000 <br />DESCRIPTION OF OPERATIONS below <br />Liquor Liability <br />A <br />A86284900 <br />03/27/2021 <br />03/27/2022 <br />Each Common Cause <br />$1,000,000 <br />Aggregate <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Location: 4703 North Hwy 10, Arden Hills, MN 55112 Including Catered Events in the State of Minnesota <br />RE: August 21, 2021 Festival inf the Park - Silverview Park, Moundsview, MN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Festival in the Park <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />2700 County Rd I <br />AUTHORIZED REPRESENTATIVE <br />Moundsview MN 55112 <br />(lam r <br />W I VUtl-ZUT O A(;UKU (;UKPOKATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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