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-1.0 CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM1DDlYYYY) <br />02/15/2016 <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(ies) 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 hotder in lieu of such endorsement(s). <br />tODUCER <br />atthew Pgh <br />tegrity Insurance Group <br />25 Main Street <br />Ik River, MN 55330 <br />NAME CT Matthew Pagh <br />PHONE E% _ 763A50-7792 F,A%C No . 763-441-6826 <br />AQORIESS: matt@integrityexporience.com <br />INSURER(S) AFFORDING COVERAGE NAIC S <br />INSURER A: Travelers Insurance Co. <br />WRED <br />Decklan Group <br />812 Main St. NW, Suite 250 <br />Elk River, MN 55330 <br />INSURER B <br />INSURERC: <br />INSURER D: <br />INSURERE: <br />INSURER F <br />DVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONTRACT OR OTHER 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 />R <br />q TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />6808FO307 <br />04/2182015 <br />04/21/2016 <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE TRENTED <br />PREMISES Ea occurrence $ 300,000 <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMET APPLIES PER: <br />PRO - <br />POLICY 1 JECT M LOC <br />OTHER: <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS-COMPIOPAGG $ 1,000,000 <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON—OWNED <br />HIRED AUTOS AUTOS <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOPARTNEWEXECUTIVE YIN <br />RI <br />OFFICFRIMEM6EREXCLUDED? IN <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS betow <br />NIA <br />CUP8F107 <br />04/21/2015 <br />04/21/2016 <br />X STATUTE ERH <br />E-L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />SCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD flit, Additional Remarks Schedule, may he attached if more space is required) <br />=-RTIFICATE HOLDER CANCELLATION <br />City of Elk River Liquor Stores <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 <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />;ORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />