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PEQULAK-01 TSTRINE ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE(M 5/26/20232023"" 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. H 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 endorsement(s). PRODUCER NCT American Church Group of Minnesota,LLC PHONE FAX 401E Antietam St.,Ste B (ac,No,EA):(877)493-4772 wc,Nol:(866)993-4774 Hagerstown,MD 21740 Mass:servIce@bltnerhenry.com INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Brotherhood Mutual Insurance Company 13528 INSURED INSURER B: Pequot Lakes Baptist Church INSURER C: PO Box 117 INSURER D: Pequot Lakes,MN 56472 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. DISK TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS J.TR INSD WVD IMMIDD/YYYYI (MMIDDIYYYYI A X CoMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR x22M5A0437431 9/20/2022 9/20/2023 DAMGEOE a oRENTxuDe rce) $ 300,000 MED E (Any ore person) $ 5,000 XP PERSONAL&ADV INJURY $ 1,000,000 GEM_AGGREGATE LIMITR APPLIES PER GENERAL AGGREGATE $ 3,000,000 POLICY jEC LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHERCO $ AUTOMOBILE LIABILITY acccideent)S ANGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED _AUTOSARE�ONLY _AAUUTNOpSy�y BODILY INJURY(Per accident) $ AUTOS ONLY _AUTOS O� rdterEERTMAMAOE _ ) UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION S $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY�PROPRIETgOR AR NERIODED? T CU N/A E.L EACH ACCIDENT $ (dlan�NH) EL DISEASE-EA EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POUCY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101 Additional Remarks Schedule,may be attached If mom space Is re aat� The City of Pequot Lakes,Minnesota Is named as an additional Insured on this policy In relation to the 5k,10k,and 1-mile walk taking place on June 3,2023. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAON DATECity of Pequot Lakes,Minnesota ACCORDANCE WITH THE PO CYY PEROVIS ONSCE WILL BE DELIVERED IN 4838 Main Street Pequot Lakes,MN 58472 AUTHOREED REPRESENTATIVE ACORD 25(2016/03) CI 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD