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<br /> .',.' A CORD w '.", ' "" '," ,.,. ., '.', ' , ,",", ',' " " " "M ,"" " ',', """
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<br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> AMERICAN HOME AGENCY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> NSON INSURANCE, INC. COMPANIES AFFORDING COVERAGE
<br /> 37 COPE AVE. EAST COMPANY
<br />I ST. PAUL MN 55109-2686 A EMC
<br /> INSURED COMPANY
<br /> Randy's Sanitation Inc. B American Com ensation Ins. Co.
<br />I P.O. Box 169 COMPANY
<br /> Delano MN 55328 C
<br />I 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 PAlO CLAIMS,
<br /> TYPE OF INSURANCE POUCY NUMBER POLICY EFFEC1[VE POLICY EXPIRATION LIMITS
<br /> DATE (MfJ!DDlYY) DATE (MMtDD/"lV)
<br /> GENERAL LIABILITY GENERAL AGGREGATE . 1 000,00
<br /> X COMMERCIAL GENERAL UABIUTY POODUCTS. COMPIOP AGG S No Cov.
<br /> CLAIMS MADE 00 OCCUR PERSONAL & ADV INJURY . 1 000 00
<br /> OWNER'S&CONTRACTOR'SPROT OD63 890 - 97 10/01/96 10/01/97 EACH OCCURRENCE . 1 000 00
<br /> FIRE DAMAGE (Anyone fire) . 50 00
<br /> MED EXP (Anyone person) . 5 00
<br /> AUTOMOBilE LIABILITY
<br /> X ANY AUTO COMBINED SINGLE LIMIT . 500 00
<br /> ALL OWNED AUTOS BODILY INJURY
<br /> .
<br /> SCHEDULED AUTOS (Per person)
<br /> HIRED AUTOS ON63890-97 10/01/96 10/01/97 BODilY INJURY
<br /> (peraccidenl) $
<br /> NON.OWNED AUTOS
<br /> PROPERTY DAMAGE .
<br /> GARAGE L1ABIUTY AUTO ONLY. EA ACCIDENT .
<br /> ANY AUTO OTHER THAN AUTO ONLY:
<br /> EACH ACCIDENT $
<br /> AGGAEGA TE $
<br /> EACH OCCURRENCE I.
<br /> OJ63890-97 10/01/96 10/01/97 AGGREGATE . 7 000 00
<br /> .
<br /> OTH-
<br /> ER
<br /> . 1 000 00
<br /> THE PROPRIETOR/ X INCL AC-WC-000-343-3 05/01/96 05/01/97 . 1 000 00
<br /> PAATNERSfEXECUTIVE
<br /> OFFICERS ARE: EXCL $ 1 000 00
<br /> OTHER
<br /> DESCRIPTION OF OPERATlONS/lOCATlONSNEHICLES/SPECIAL ITEMS
<br /> * * Coverage under Code 95233-Garbage, Ash or Refuse collecting includes
<br /> products & completed operations.
<br /> City of Arden Hills EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAil
<br /> 1450 West Hwy. 96 ~ DAYS WRITTEN NOTICE TO THE CERTIfiCATE HOLDER NAMED TO THE LEFT,
<br /> Arden Hills MN 55112 BUT~F ILURE TO MAIL SUCH NOTICE SHAll IMPOSE NO OBUGATION OR UABILllY
<br /> OR REPRESENTATIVES.
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