Laserfiche WebLink
<br /> --------- <br /> ~Number2f DECLARATIONS PAGE <br /> 93-EC-9565-8 ') STATE FARM FIRE AND CASUALTY COMPANY ~ <br /> 8500 STATE FARM WAY, WOODBURY MN 55125-3379 > <br /> A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS <br /> Named Insured and Mailing Address RECE\\/ED . <br /> 3935-F725 V <br /> NELSON, RICHARD FES 2 3 1998 <br /> DBA NORTH METRO INSPECTIONS <br /> 941 COUNTY ROAD B W (if{ Of Ail)(N HillS <br /> ROSEVILLE MN 55113-4406 <br /> USINESS POLICY. SPECIAL FORM 3 Cov A - Inflation Coverage Index: N/A <br /> Cov B - Consumer Price Index: 161.6 <br /> UTOMATIC RENEWAL - If the POLICY PERIOD is shown as 12 MONTHS, this JoliCr; will be renewed automaticallo <br /> Ibject to the wemiums, rules and forms in effect for each succeedin~ policy perio . If his policy is terminated, we wi I <br /> ve you and t e Mortgagee/Lienholder written notice in compliance WI H the policy provisions or as required by law. <br /> olicy Period: 1 Yesr The policy period begins and ends at 12:01 am standard time at the <br /> ffective Date: JAN 1 1998 premises location. <br /> xpiration Date: JAN 1 1999 <br /> lmed Insured: Individual <br /> ocation of Covered Premises: <br /> 030 COUNTY ROAD D W <br /> T PAUL MN 55112-3504 <br /> overages & Property Limits of Insurance <br /> Section I . <br /> Buildings Excluded <br /> Business Personat Property ~ 1,000 <br /> Loss 01 Income Actual Loss <br /> Section II Deductibles - Section I <br /> 3usiness Liability $ 1,000,000 <br /> Medical Payments $ 5,000 $ 250 Basic <br /> oducts.Completed Operations $ 2,000,000 <br /> PCO) Aggregate <br /> ~neral Aggregate (Other $ 2,000,000 <br /> -han PC ) In case of loss under this policy, the deductible will be <br /> applied to each occurrence and will be deducted from the <br /> amount of the loss. Other deductibles may apply - refer to <br /> policy. <br /> Total Estimated <br /> )rms, Options, and Endorsements Premium $ 100.00 <br /> pecial Form 3 FP-6103 Minimum Premium <br /> mendatory Endorsement FE-6223.1 Discounts Applied: <br /> -ee Debris Removal FE-6451 Years in Business <br /> oliey Endorsement-Business FE -6464 <br /> :left Deletion Endorsement FE-6308 Municipal Surtax S .05 <br /> lass Deductible Deletion End FE-6538.1 Audit Period: Annual S 100.05 <br /> repared TO YOUR POLlCb- t <br /> \J 281998 . . /0 <br /> 8030.2C GN4F B Agent <br /> 1993 P TKOFF AGENCY IN <br /> Jr policy consists of this pagel any endorsements <br /> I the policy form_ PLEASE KEEP THESE TOGETHER. (612) 631-0505 (oll2l72b) <br /> ------- <br />