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2003-11-12 CC Packet
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2003-11-12 CC Packet
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<br /> <br /> <br />THE POUClES OF INSURANCE usren BE\.OW HAVE BEEN ISSUED TO _INSIJflEIl NII>!ED N?JJVE FOR THE poucY pERIOD INDICKfED. NQTW\TliSfANlllNG <br />""" REQUIREMEN'.'- OR CONllfTlON OF """ coNfRA"T OR oTHER I)()CUMENT WT1li RESPECT TO WHICH THIS ca<nflCAT<....V BE ISSUED OR <br />....V pERf AlN. _INSURANCE AFfOfIIlED BV _ POUClES DESCflIBED HEREIN IS SUBJECT TO AU- - TERMS. E)(C\.lJSJONS I\NO CONomONS OF SUCH <br />POUCIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .' <br />~ TYPE OF INSURANCE pOUCV NUMBER ~,pii~I~~~ LIMITS <br />_TB <br /> ~ERAL UABlUTY EACH OCCURRENCE $ <br /> coMMERCIAL GENERAL UABIU1'f FIRE DAMAGE (Anyone fire) $ <br /> 1 CLAIMS MADE 0 OCCUR MED EXP (AnY one pelBOn) $ <br /> PERSONAL & flJ)V INJURY $ <br /> f.- GENERAL AGGREGATE $ <br /> nAGG~nUMIT APnPER: PRODUCTS. COMP/OP AGG $ <br /> pOUCY ~~ LOC <br /> ~OMOBILE UABIUTY COMBINED SINGLE UMIT $ <br /> \- PN'fAUTO (Ea accident) <br /> I-- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (per pelBOn) <br /> I- <br /> HIRED AUTOS .. <br /> I-- BODILY INJURY $ <br /> NON-OWNED AUTOS (per accident) <br /> I- -- <br /> I-- PROPERTY DAMAGE $ <br /> (Per accident) <br />R'UAmU" AUTO ONL V . EA ACCIDENT $ <br /> PN'f AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS UABIUTY EACH OCCURRENCE $ <br />t:IoccuR 0 CLAIMS MNlE AGGREGATE $ <br /> $ <br />H DEDUCTIBLE $ <br /> ReTENTION $ $ <br /> woRKERS COMPENSAnOI'ol AND \ ~ST~TI!:t \ \011+ <br /> TORY UMITS ER <br /> EMPLOYERS' UABIUTY E.L EACH ACCIDENT $ <br /> E.L DiSEASE. EA EMPLOYEE $ <br /> E.L DiSEASE. pOUCY UMIT $ <br />A oTHER EACH COMMON CAUSE $300,000 <br />UQUOR UABIUTY CLS0977206 12131/2003 12/31/2004 <br /> GENERAL AGGREGATE $300,000 <br />DESCRIPTION OF OPERAnONS/LOCAnONstVEHICLESlEXCLUSlONS ADDED BV ENOORSEMENTISPECIAL PROVISIONS <br />CERTIFICATE HOLDER \ -\ ADDmONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED pOUClES BE cANCELLED BEFORE THE EXPIRAnOI <br /> CITY OF CENTERVILLE DATE THEREOF, THE ISSUING INSURER WII.L ENDEAVOR TO l\AAIL ~ DAVS WRJTTEN <br /> 1880 MAIN ST NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 SO SHALL <br /> CENTERVILLE MN 55038 - IMpOSE NO' OBUGAnoN OR UABlUTY OF ANY KIND UpON THE INSUREA.ITS AGENTS OR <br /> REPRESENTAT\VES. i <br /> .un.".''''.........,.r-~.....' . . ~ ". ~4.. ~ <br /> 'V .~. (1' .. <br /> --c. Ji,,__" q . . - ,. <br /> <br />4CORDTM CERTIFICATE OF LIABILITY INSURANCE \ DATE (MMIODIYYl <br />10117/2003 <br />IDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> MN01.Bums & WilcoX. Ltd . Minnesota '_Del 2 U 200j ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTlRCATE DOES NOT AMEND, EXTEND OR <br /> 60 Plato Blvd East ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> St. Paul MN 55107 <br /> INSURERS AFFORDING COVERAGE <br />WRED TRIO INN, THE INSURER A: SCOTTSDALE INSURANCE COMPANY <br /> MOUNTAIN ENTERPRISES INC INSURER B: <br /> 7082 CENTERVILLE ROAD INsuRER C: <br /> CENTERVILLE MN 55038 INSURER 0: <br /> I INSURER E: <br /> <br />:OVERAGES <br /> <br />..~"'. "~. ,..""r.t,",,D.A"~I"'\~'--1 OQ <br />
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