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CCP 01-23-2006
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CCP 01-23-2006
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5/8/2007 1:21:14 PM
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11/14/2006 4:41:45 PM
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<br />1/9/2006 3:21 PM FROl1: Ins Brokers of ~1N Ins Beokers of Mli TC; +1 ((;~1) 634:".:.37 L;;GE: D02 OF 003 <br /> <br />. <br /> <br />ACORQ, CERTIFICATE OF LIABILITY INSURANCE I DATE (fiI1MIODIYYYYi <br />01/09/2006 <br />PRODUCER (763)323-3000 FAX (763)323-8353 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Insurance Brokers of MN, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />900 East Main Street, Ste. 100 A~I~R THE COVERAGE AFFORDED BY THE POLICIES ,BELOW. <br />Anoka, MN 55303 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />-.... Special Events Catering Inc State Auto Milbank 416s:f'- <br />INSURED INSURER A <br /> 3425 N Hwy 169 Heritage Mutual .......-- <br /> INSURERG: 14184 <br /> Pl ymouth, MN 55441 -.. ---- <br /> INSURERC <br /> INSURERU <br /> ----- <br /> INSURERE <br /> <br />COVERAGES <br /> <br />. <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAV:::: BEEN ISSUED TOTH~ INSURED NAMeD ABOVI:: f-OK I He:: POLICY PERIOD INDICATED_ NOTVvlTllSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITII RI::SPI::CT TOWHICH THIS CERTIFICATE MAY BE ISSU[Q OR <br /> MAY PERTAIN, THE INS\WANCi:: AfFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU THE TERMS, EXCLUSIONS AND CONDI1IONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCI::D BY PAID CLAIMS. <br /> - <br />INSR D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE _~.fr;Y,EXPIRATION LIMITS <br /> OO1YYJ <br /> GENERAL LIABIlITY PBP959362205 06/06/2005 06/06/2006 EACH OCCURRENCE , 1,000,000 <br /> ~ <br /> X 3MMERCiAl GENERAL LIABiLITY OAMAGE: TO RENTED , 100,000 <br /> -=- CLAIMS MADE [K] OCCUR PRE 0 <br /> ~11::1J EXP (AnyooC) pC)rson) , 5 000 <br /> ---..- ...... <br />A PERSONAL & ADV INJURY , 1,000,000 <br /> - <br /> CENERALAGGREGAIE , 2,000,000 <br /> - ----- .... - <br /> ~'~ AGG~nE L'MIT APnS :ER PROUlJCIS COMPIOP AGG , 2,000L()()() <br /> PRO. <br /> POUCY JE:CT LOC <br /> ~OMDBILE LIABILITY BAP2080403 06/06/2005 06/06/2006 CCMDINED SINGLE LIMIT <br /> , <br /> ANY AUTO (FZI<iccidonl) <br /> ... --.-. <br /> X AlL OWNED AUTOS BOOIL Y INJURY <br /> (PorpelSonl $ 500,000 <br />A X SCHI::D\Jl_H) AUTOS _.- <br /> HIRED AUTOS BODILY iNJURY <br /> X IPcrZlccil1ent) S <br /> NON-OV\NEO AUTOS <br /> - c..--- .- ----- <br /> - -_.--- PROPERTY DAMAGE: S <br /> (Peracciclent) ~~ <br /> ---- <br /> ~ARAGE UABlLITY AUTO ONLY - EA ACCIDE~_~_._ , <br /> ANY AUTO OTHER tHAN EAACC , --- <br /> Aura ONlY: AGG , <br /> - <br /> ~ESSIUMBRELLA LIABILITY EACH OCCURRENCE , <br /> OCCUR D CLAIM~ MADE r--- <br /> AGCREGAII- , <br /> , -- <br /> =1 DEDUCTIBLE , <br /> RETENTiON , $ <br />- f--. F59581 06/06/2005 06/06/2006 l~I\ICSTATlJ-sl I~TH <br /> WORKERS COMPENSATION AND _1 PRY_LIMITS ER <br /> EMPLOYERS' LIABILITY E LEACH ACCIDtNl S 100,000 <br />B ANY PROPRIETOR/PARTNER/EXECUTIVE .... <br /> OFFICEPJII.1EM(3[R EXCLUDm? ELDiSEASE - EA EMPLOYE S 100,000 <br /> Ifyp.~. describe under F_LOISE:ASE -POLICY LIMiT , 500,000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS! LOCATIONS IVEHICLESI EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />. <br /> <br />City of Arden Hills <br />Attention: Michelle Olson <br />1245 West Highway 96 <br />Arden IIi 11 5, MN 55112 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THEISSUING INSURER WfLLENOEAVOR TO MAIL <br />DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFr_ <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES_ <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />.xf,(~-,./ <br /> <br />Debbie Ramsey/DEBB <br /> <br />ACORD 25 (2001108) FAX; <br /> <br />(651)634-5137 <br /> <br />@ACORDCORPORATION 1988 <br />
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