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A� b® CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) 051102016 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 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 andomement s . PRODUCER MARSH USA, INC. 445 SOUTH STREET MORRISTOWN, NJ 07950-6454 Monistown.CenRequest@marsh.com fax: 212-946-0979 CONTACT NA E: PHONE uc No s: =6 s` INSURERS AFFORDING COVERAGE NAIC9 rMERCIAL GENERAL LIABILITY CLAIMS -MAGE MOCCUR INSURER A : Federal Insurance Company 20281 MINNE INSURED NATIONAL MULTIPLE SCLEROSIS SOCIETY INSURER B: ACE Property and Casualty Insurance Company 20699 INSURER C: Employers lnsurawe Company Or Wausau 21458 UPPER MIDWEST CHAPTER 20012TH AVENUE SOUTH MINNEAPOLIS, MN 55415 --�--- - -"- "--- INSURER D: INSURERE: PERSONAL$ ADV INJURY $ 1,0110,0110 INSURER F. GENERAL AGGREGATE $ 2,000,000 GOVERAGES CERTIFICATE NUMBER: NY0008109072-05 RFVI-glnM NI IMRFR•4 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. INSR LT rypE OF INSURANCE AODLSUBR POLICYNUMBER POLICY EFF MMIDOOM POLICY EXP IMMIDD/YYYY LIMITS A rMERCIAL GENERAL LIABILITY CLAIMS -MAGE MOCCUR 358333-09 1213112015 12/31/2016 EACH OCCURRENCE $ 1,000,000 PREMISES Ea acwrmnce $ 1,000,000 MED EXP (Any ono arson) $ 10,000 PERSONAL$ ADV INJURY $ 1,0110,0110 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT I -XI LOC CTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPABP AGO $ 1,000,000 $ A AUTOMOBILE X X LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS _ AUTOS HIREDAUTOS X NON -OWNED 7353-02-3T 12/31/2015 12/31/2016 COMBINED SINGLE LIMIT Ea ani $ 1,000,000 BODILY INJURY (Por person) s BODILY INJURY (Par aWdant) $ PROPERTY DAMAGEAUTOS $ ere e ComplCdl DedwONe $ 1000 B X UMBRELLA LIAR EXCESS UAB XOCCUR GIAIMS,MADE M00552835005 12131/2015 12(31/2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 DED X RETENTIONS10000 $ C WORKERS COMPENSATION ANDEMPLOYERS'LIABDJTY YIN ANY PROPRIETOR/PARTNERID(ECUTIVE IN/A OFFICEPM,EMBER EXCLUDED? (Mandatory In NH) Oyyes decadbe under On. 1) OF OPERATIONS below WCCZO1451053-015 12/31/2015 1213112016X PE OT STATUTE EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE. POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORDIei,AUd[UonIIRemadw Schedule,meybea(Mehed Nmomepacels,gWredl CITY OF HUGO ISADDED AS ADDITIONAL INSURED EXCLUDING WORMERS' COMPENSATION AND EMPLOYERS' LIABILITY POLICY. CITYOFHUGO 14689 FITZGERALD AVE. N. HUGO, MN 55038 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. of Marsh USA Ino. Manashl Mukherjee ,;MoL.l;io kk m 1988-2014 ACORD CORPORATION. All rlahts ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD