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A`CRD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 07/19/2023 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br /> PRODUCER CONTACT Jake Cameron <br /> NAMInsurance Brokers of MN,Inc. PHONE FAX <br /> L ,Slo.Earth (WC,No): <br /> 31073 Front St ADDRESS: J.cameron@insurancebrokersmn.com <br /> INSURER(S)AFFORDING COVERAGE NAIC <br /> Pequot Lakes MN 56472 INSURER A: Badger 13420 <br /> INSURED INSURER B: <br /> American Legion 49,DBA:Ben Krueger Post#49 Inc INSURER C: <br /> PO BOX 238 INSURER D: <br /> 4435 Main Street INSURER E: <br /> Pequot Lakes MN 56472 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL2371913772 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 /> INS TYPE OF INSURANCE ADD-SUBR POLICY EFF POLICY EXP LIMITS <br /> INSO WVO POLICY NUMBER (MMIDDIYYYY) (MMIDDM'YY) <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ "1000000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ �0'000 <br /> _ MED EXP(Any one person) $ 5,000 <br /> A 0059140798 07/01/2023 07/01/2024 PERSONAL 8,ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY El LOC PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> - OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> _ (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per acddmri) $ <br /> AUTOS ONLY _ AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY _ AUTOS ONLY (Per accdent) <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ _ $ <br /> WORKERS COMPENSATION PER I <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPR I I IETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) El.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below El.DISEASE-POLICY LIMIT $ <br /> LIQUOR LIABILITY <br /> A 0059140798 07/01/2023 07/01/2024 OCCURENCE 1,000,000 <br /> GENERAL AGGREGATE 2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) <br /> Coverage extends to the patio/parking lot on the west side of the building for the Choke Cherry Festival/Street Dance on August 5th,2023 <br /> )pTMEICEI <br /> CERTIFICATE HOLDER l i I I 19 2023 CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Pequot Lakes By ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 4838 County Rd 11 <br /> AUTHORIZED REPRESENTATIVE <br /> Pequot Pequot Lakes MN 56472 <br /> (J <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />