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<br />ACORDTfI CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDIYYYY) <br /> 11/1512004 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA110N <br /> MN01-Bums & Wilcox, lid - Minnesota ONL YAND CONFEItS NO RIGHTS UPON THE CER11FICATE <br /> 60 Plato Blvd East HOLDER. THISCER11FICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW~ <br /> St Paul MN 55107 '. <br /> " " INSURERS AFFORDING CO~~~ _ <br />i ...... " .., NAlC ., , ,- <br />INSURED THE TRIO 'INN INSURERA: SCOTTSDALE INSURAN.C.E CQ,I\I1PANY , <br /> ..~ ','-', .. . , <br />, ,MOU'NTAIN ENTERPRISES INC, DBA: INSURER B: ,. " .... <br /> 6510 CENTERVlLLE ROAD INSURER c: " <br /> UNO lAKES MN 55038 INSURER D: " <br /> f INSURER E: <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDlNG <br /> ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmoNS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , <br />~~~ POUC\' NUMBER POUC\' EFFEC11VE POUC\' EXPIRATION LIMITS <br /> , .!!NERAL UABI1JTY EACH OCCURRENc"E $ <br /> 1:8 tEa occurence\ .. <br /> COMMERCIAL GENERAl UABIlITV $ <br /> I ClAIMS MADE D OCCUR MED EXP (Any one P8/SOIl) $ - <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> ~AGGREn LlMrT APrJ' PER: PRODUCiS. COMPlOP AGG $ <br /> POUCY :.cg: LOC <br /> ~OBILE L/ABlUTY COMBINED SINGLE LlMrT $ <br /> .~ ANY AUTO (Ea~) <br /> , <br /> - ALL OWNED AUTOS BODILY INJURY <br /> ';... ..,- (Per person) $' <br /> SCHEDULED AUTOS -, <br /> ---:c ...;')..'1\'../, ..~...!;-~Jt-t.........l:"J t:_'~ . t:::;...... ! .!......::'.. ;' ;... .. ' . <br /> 'HIREt)'AOrOS . ,L. , . , - BODILY INJURY , <br /> 7 .... , "'.~.', ..... ' .. $- <br />; ~p ~ON..o~ AUTOS - , . '" " " .(peraccldelil), , ; ; .~. <br /> ..... . <br /> - '" . ....-. ~. .-. ~.. .... .. .' .. -, .. <br /> . .' . . " ' " " >0 . <br /> . ' : PR<>PEiUv DAMAGE <br /> - $ <br /> : " (Per~ <br /> , .. : <br /> =rEUAmUTY AUTO ONLY. EAACCIDENT $ <br /> ANY AUTO OTHER 1liAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCSS8IUMBRELLA LIABIUTY EACH OCCURRENCE $ <br /> ::J -OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br /> woRKERs COMPENSATION ~ l~sr~1 10Jt <br /> EMPLOYERS'LIABIUTY E.1.. EACH ACCIDENT $ <br /> ANY PROPRlETORIPARTNERIEXECUTIV <br /> OFFICERIMEMBER EXCLUDED? E.L DISEASE. EA EMPLOYEE $ <br /> ~ descrlbe under $ <br /> IAL PROVISIONS below EoL DISEASE. POUCY LIMIT <br />A OTHER CLS1053n8 12/3112004 12/3112005 EACH COMMON CAUSE 300,000 <br />LIQUOR lIABILITY <br /> GENERAL AGGREGATE 300,000 <br /> "'--'; - <br />DESCRIPTION OF OPERA11ON8/ LOCATIONS/VEHICLES/ EXCWSIONS ADDED BY ENDORSEMENT 'SPECIAL PROVISIONS .KE CE.IVEfi <br />LOCATION: <br />7082 CENTERVlLLE ROAD NDV f 6 2004 <br />CENTERVlLLE, MN 55038 <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLA110N <br /> <br />CITY OF CENTERVlLLE <br />1880 MAIN ST <br />CENTERVlLLE <br /> <br />MN 55038 <br /> <br />SHOULD ANY OFTHEABOVE DESCRIBED POUClES BE CANCEUI!D BI!FORETHE EXPIRATION <br />DATETHEREOF, THEISSUINGINSURERWlLLENDEAVORTO~ ~ DAYSWRlT <br />NOTI.CE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL ' <br />IMPOSE NO OBUGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITSAGENTS OR <br />REP "T1YE8. <br />REP <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />@ACORD CORPORA110N 1988 <br />