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CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATE I$ ISSUE" AS A MATTER OF tNFORNWTION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATH/ELY AMEND, INTEND OR ALTER THE COVERAGE AFFORDED EY THE PO - THIS <br />BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSITTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />RFPRESENTATIVE-OR PRODUCER, AND THE CERTIFICATE HOLDER <br />IMPORTANT. IF the certificate holder is an ADDITIONAL INSURED, the pDlloyft! ) must he endorsEd_ If SUBROGATION I$ WAIVED, su6Ject to <br />the tenf th <br />s and conditions oe policy, certain may ay rsyulm an e°dorsemonL. A staternent on this cerNNcats does not conker rights to the <br />certificate holder in lieu of Such endoreeneent(s). <br />PRODUCER COfrIAC( <br />NNE . <br />Jim Nesser Agency, Inc. ° Erve- <br />4175 Lovell Rd <br />.Lexington, Mn 55014 .. msuRSefsl AevnARwn onvcnw.-.. <br />INSURED <br />Blue Heron Grill, Inc. <br />Blue Heron Grill <br />14725 Victor Hugo Blvd N <br />- - - ------ E K"ISIUN NUMBER; <br />THIS IS TO CERTIFY THAT THE POLICIES OF„INSURANCE UsIl E BELOW HAVE BEEN ISSUED iO THE INSURED NgMPlI ABOVE FOR THE POLICY PERIOD <br />INDICATED- NOTTVITHSfANDING ANY REQUIREMENT, TERM R CONDITION OF <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAm, <br />EXCLUSIONS AND CONDITION$ OF SUCH POLICIES. <br />ANY CONTRACTOR OTHER DOCUMENT WIT}i RESPECT TO WHICH THIS <br />THE INSURANCE AFFORDED BY 7HE POUGES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />LIMIT$ SHOWN MAY HAVE <br />�LM ° <br />SEEN REDUCED BY PAID CLAIMS. <br />MDIIMe93 <br />l <br />m 10 <br />MMN� <br />UNITS <br />GENEAALLLWLRY <br />EWH OCCURRENCE <br />COMMERCWLGENERALUABRIIY <br />DwnsMAGE occuR <br />A 9E91b a_ S 300 000 <br />A <br />BR 235735 <br />1-1-1 <br />/ <br />MFDEAP MY9a nssPl s 000 <br />1-1-17 <br />PERSONALSAVVINMRY s OO <br />AGGREGATE <br />UMRAPpUES P FR <br />GENEAALAGGREGATE 4rGFNL <br />POUCY <br />T& LOC <br />PRODUUM-COMP/OPAGG s <br />9 <br />MOBILE VABILnT <br />BI [-0S lE Ir <br />FA <br />ASO <br />LLOVYNED SCHEODUBI <br />BODILY MIURY (PerpeRvn) s <br />1f10S ANON-0N11Eo <br />BODILY INJURY IPr.wdli s <br />IRED AVTOS AUTOS <br />PR�P� ° vB s <br />S <br />UMBRE.ALIABOCCUR <br />ExcEss oAe MAIMS-MAOE <br />EACH OCCURRENCE s <br />AGGREGATE s <br />OED RETEMION9 <br />WORNERB CDMPENBATIDN <br />9 <br />MIB EMVLDYER. UARI1Jrr YIN <br />• aFFPce wemawtMMUDDBU? rVm�❑ NIA <br />B <br />EL EACHACCmEm 9 <br />500,000 <br />InmAdetorymNH) <br />L+C6589721-1_1/ <br />If yes. desaftmwder <br />OESCRBRION OPOPERATONS beIP.r1-1— <br />_ EL OISEAEE-EA EMPL s <br />7 <br />ELOISPA9E-POUCNUMIr i <br />A Liquor Liab <br />BR235735 1-1-16/ 1,000,000/2,000,000 <br />-1-17 Limit of Liabilit <br />OFSCWPTDN OF Op61ATIDNS/LOfATIONS/vpfiClF9 (ANaervACOnnlef,AddMmW RsmuXeSWedNe, Nmenepsee Isngeind) <br />Tent Party Held June <br />24th and 25th 2016 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City Of Hugo <br />SHOULD ANY OFTNEA19ME DESCRIBED POLICIES BE CANCULM BEFORE <br />14669 Fitzgerald N <br />- <br />'THE O°'IRATION DATE TNEREor NOTICE MLL BE nElnm. IN <br />ACCOIrDANCE W fD1 THE POUCYPROVISIONS_ <br />Hugo, Mn 55038 <br />. .. <br />AV1110m1�NB'gGSHi'IATVe <br />Ahh I <br />-1417 A <br />8 t9R8-2010 ACORD CORPORATION. All rights reserved, <br />ADORE) 25 (2010/05) - The ACORD name and Id o rem <br />8 A .. glslamd marks of ACORp. . <br />