Laserfiche WebLink
<br /> . <br />:AC08Lt CERTIFICATE OF LIABILITY INSURANCE I DATI!(MMIDDIYYYV) <br />10/29/2004 <br />PRODUCER. . (651)644-0311 FAX (651)641-8981 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />plulet/Slater, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2610 University Ave., '200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR. <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . <br />.-" ,p'aul,. ~$5114 <br /> :. . ,. . INSURERS AFFORDING COVERAGE NAtC f# . . <br />....... - <br />.. '0 . <br />. iN8u~ c;en~~~ne~iqu~rs . .. '" .. . .... '. ., ~ . ... . '.- . ..... IN~A: Safeco Xnsurance <br /> DBA: GNAW. lilc . INSURER B: .. 0 .. <br /> 7093 20th Ave INSURER C: <br /> . Ceriterv111e, MN 55038 INSURER D: <br /> INSURER e: <br /> <br />CO <br />THE POUCIES OF INSURANCE USTED Baow HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDINI <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIACATE MAY BE ISSUED OR . <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />p()UCIES..AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . <br />~~~~ TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION LIMIT8 <br /> GENERAL LIABILlTY EACH OCCURRENCE $ <br /> - DAMAGE TO RENTED <br /> COMMERCIAl. GENERAL LIABILITY $ <br /> I ClAIMS MADED OCCUR MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> -; <br /> GENERAL AGGREGATE $ <br /> - <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP AGG $. <br />.... l~nm9r nLOC <br />. AUTOMOBILE LIABILlTY . .. COMBINED SINGLE LlMl'i . , <br /> r-- (Ea accident) $ <br /> Att( Al1fO .. . . . <br /> ~ . . <br /> ALL OWNED AUTOS BODILY INJURY <br /> r-- $ <br /> SCHEDULED AUTOS (Per person) ; <br /> '-- <br /> HIRED AUTOS BODILY INJURY <br /> r-- (Per accident) $ <br /> NON-owNED AUTOS <br /> .r- . .. <br /> " PROPERlY DAMAGE $ <br /> )' (per accident) <br />- <br /> GARAGE LIABILlTY AUTO ONLY. EAACeIDENT $ <br /> q ANY AUTO OTHER THAN EA ACe $ <br /> AUTO ONLY: AGG $ <br /> EXCE8SIUMBRELLA LIABILlTY EACH OCCURRENCE $ <br /> :=JoccuR DClAIMSMADE AGGREGATE $ <br /> ~:=: $ <br /> $ <br /> $ $ <br /> WORKERS COMPENSATION AND WC STATU- I IO.w- <br /> EMPLOYERS'LIABIUTY E.L EACH ACCIDENT $ <br /> ANY PROPRlETORIPARTNERIEXECUTIV <br /> OFFlCERlMEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ <br /> ~ describe under <br /> IAl. PROVISIONS below E.L DISEASE. POUCY LIMIT $ <br /> ~r Liability 02BP2397901 01/01/2005 01/01/2006 $2.000,000/$4,000,000 <br />A <br /> .. <br />DE8CRIPTION OF OPERATIONS / LOCATIONS/VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ~:;f1 ~ 11~ I V IJU <br />'rovides evidence of insurance. NOV 0 1 2004 <br /> <br /> <br /> <br />Ci ty of Centervill e <br />1880 Main St <br />Centerville, MN 55038 <br /> <br />SHOULD ANY OF THEABOVE DESCRIBED POUC1E8 BE CANCELLED BEPORE THE <br />EXPIRAnON DATE THEREOF, THE ISSUING INSURER WD.L ENDEAVOR TO MAIL <br />J!-DAYSWRITTEN Nonce TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NoncE SHALL IMPOSE NO OBLIGATION OR LJABiury <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />.AIJl'HORIZED REPRESENTATIVE <br /> <br /> <br /> <br />ACORD 25 (21)01108) <br /> <br />@ACORD CORPORATION 1988 <br />