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ACORD®CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYY) 08/25/2022 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(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 endorsements). COMEACT Lisa Christenson Hylant - Indianapolis10401 North Meridian St, Ste 200 Indianapolis IN 46290 PHONEA/C No, Ext: 317-817-5172 [NC, NoX: 317-817-5151 E-MATIADDRESS: kiwaniscert@hylant.com INSURER(S) AFFORDING COVERAGE NAIC # 19437INSURER A : Lexington Insurance Company KIWANO3INSURED Kiwanis International, All Clubs and Their Members 3636 Woodview Trace Indianapolis IN 46268 INSURER B : INSURER C: INSURER D:Kiwanis Club of St. Anthony, MN 3301 Silver Lake Rd NE St. Anthonv. MN 55418 COVERAGES CERTIFICATE NUMBER: 1261782574 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. TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR Liquor Liability GEN'L AGGREGATE LIMIT APPLIES PER: PRO-POLICY LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY X HIRED XAUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY 013136005 11/1/2021 11/1/2022 EACH OCCURRENCE PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG Liquor Liability COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ 5,000 $ 2,000,000 $ 2,000,000 $ 2,000,000 $ 1,000,000 $ 1,000,000 $ EACH OCCURRENCE AGGREGATE NIA 11/1/2021 11/1/2022 STATUTE ER*- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT All Claims $75,000 013136005 A UMBRELLA LIAB EXCESS LIAB DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe undeDESCRIPTION OF OPERATIONS below Self-Insured Retention OCCUR CLAIMS-MADE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER City of St. Anthony, MN 3301 Silver Lake Road NE St. Anthony, MN 55418 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICEWILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ?ADD 25 (2016/03) AUTHORIZED REPRESENTATIVE Judy K. Wilson © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 44