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ACS�RD' <br />RICEC-1 OP ID: BB <br />CERTIFICATE OF LIABILITY INSURANCE D0212ATE 112019Y) <br />02/21/2019 <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 />r I'ORESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />1.0130RTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />3RODUCER CONTACT <br />Mark Larson #20336489 _ <br />i9curity State Insurance PHONE - F <br />litkin Office _( fC. No. Ezls218-927.3712 _ Arc NaI: 298-927�481 <br />).0. BOX 347 ADDRESS: <br />litkin MN 56431 <br />iecurity State Agency INSURERS) AFFORDING c:oveRAGt _ Nac <br />INsuREFiA: Underwriters at Lloyd's,London <br />NSURED Rice Creek Trail Association <br />PO Box 22 <br />Circle Pines, MN 55014 <br />COVERAGES <br />CERTIFICATE <br />INSURER B <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED_ TO THE INSURED NAMED1ABOVE FOR. THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR -CONDITION OF ANY CONTRACT OR OTHER <br />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. <br />49 <br />-TRR <br />�070L SU$ POLICY EFF POLICY EXP <br />NDI <br />TYPE OF INSURANCE _ POLICYNUMBER MMYYYY ! MM/DD/YYYY' <br />LIMITS <br />A <br />X <br />I COMMERCIAL GENERAL LIABILITY <br />i EACH OCCURRENCE S 1,000A <br />CLAIMS -MADE ❑X OCCUR X HK02036 02/2412019 0212412020 <br />REW$gS JES �„� „�, $ 900,0 <br />MED EXP (Any arks person) $ E_Xclud <br />PERSONAL & ADV INJURY S 1,0D0,0 <br />G�E L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE_ $ 2,000.0 <br />jN <br />lj� l POLICY ❑ JECT LOC <br />fr PRODUCTS - COMP/OP AGG S — _2.0w.0 <br />S t OTHER:- <br />COM�BINd SINGLE LIMIT $ <br />NUTOMOBILE LIABILITY <br />( Ea-1 <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />—I ALLNED SCHEDULED <br />BODILY INJURY (Per accidem) S <br />OS AUTOS <br />NON -OWNED <br />PROPERTY DAMAGE $ <br />HIRED AUTOS AUTOS <br />(Per ecoidenti <br />UMBRELLA LIAB R <br />_ OCCUR <br />EXCESS LIAB CLAIMS -MADE <br />DED I RETENTION S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ N 1 A <br />OFFICERNEMBER EXCLUDED? <br />(Mandatory in NH) <br />fEyS describe under <br />DESCRIPTION OF OPERATIONS below <br />$ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />PER STATUTE ERTM <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />EL. DISEASE -POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached O more space H required) <br />CERTIFICATE HOLDER <br />City of Hugo <br />14699 Fitzgerald Ave N <br />Hugo, MN 55038 <br />ACORD 25 (2014/01) <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />` 7gt3Gtte-Q2 <br />01988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo am registered marks of ACORD <br />