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<br /> <br />Time: 02:32 PM To: 651-429-8629 <br /> <br />651-641-8981 <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br />DUCER (651)644-0311 FAX (651)641-8981 <br />ulet/Slater, Inc. <br />2610 University Ave., #200 <br />St. Paul, MN 55114 <br /> <br />Page: 001..002 <br />DATE (MMIDDIYY'tY) <br />11/01/2004 <br />. THIS CERTlRCATE IS ISSUED ASA MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />. HOLDER. THIS CERTIFICATE DOES NOT AMENDJ .EXTEND OR <br />AL TERTHE COVERAGE AFFORDED BY THE POuCIES BELOW. <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVJ; FOR THE POLICY PERIOD INDICATED. N01Wl1HSTANDING <br />AN( REQUIREMENT, TERM OR CONDmON OF ANf CONTRACT OR OTHER DOCUMENTWI11i RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BYTHE 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 />If: ~ 1YPE OF INSURANCE POUCYNUMBER POUCYEFFEC11VE . POUCYEXPIRAnON <br />, GENERAL L/AB1l..l1Y <br />- <br />COMMERCIAl GENERALI.IABII.ITY <br />I CLAIMS MADE D OccuR <br /> <br />COMaNED SINGLE UMT $ <br />(Ea actIdenI) <br />BODILY INJURY $ <br />(Per person) <br />BODILY INJURY $ <br />(Per actIdenl) <br />PROPERlY DAMAGE $ <br />(Per acddenl) , <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />I WCSTA'fU. I IOJr, <br />EL. EACH ACCIDENT $ 1000 <br />EL.DISEASE-EAEMPlOYEE $ lOOOl <br />EL.DISEASE-POUCYUMT $ 5000 <br />$1,000,000 Ea Conunon Cause <br />$2,000,000 Aggregate <br /> <br />CANCELLATION <br />SHOULD ANf OF THE ABOVE DESCRIBED POUCIES BE CANCB.LED BEFORE THE <br />. . <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAD.. <br />....1Jl.DAYSWRrTTENNOTICETO THE CERTIFICAlE HOLDER NAMED TO THE LEFT, <br />BUT FAI1.URE TO MAt1. SUCH NOnCE SHALL IMPOSE NO OBUGA'nON OR L/ABn.nY <br />OF ANfKIND UPON THE INSURER, ITS AGENTS ORREPRESENTA11VES. <br />AUTHORIZED REPRESENTATIVE 4'~ J <br /> <br /> <br />@ACORDCORPORATlON1~ <br /> <br />INSURED Wi seguys P zza Inc <br />,7095 20th Avenue S <br />Centervil1e, MN 55038-0000 <br /> <br />INSURERS AFFOR()ING COVERAGE <br />INSURERA: First Dakota <br />INSURERS: Safeco Insurance <br />INSURERC:, <br />INSURER D: <br />INSURER E: <br /> <br />EACH OCCURRENCE <br />DAMAGETO~II:D <br /> <br />GEN'l. AGGREGAlE UMT'APPUES PER: <br />I POUCY n ~ nlOC <br /> <br />MED EXP (Anyone person) <br />PERSONAl & ADVJNJURY <br />GENERAlAGGREGAlE <br />PRODUCTS- COMPIOP AGG <br /> <br />. <br /> <br />AUTOMOBD..E L/ABn.nY <br />- <br />ANYAUTO <br />All OWNED AUTOS <br /> <br />SCHEDUlED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br /> <br />- <br /> <br />- <br /> <br />- <br /> <br />- <br /> <br />- <br /> <br />i::~ <br /> <br />EXCESSlUMBREi.L.A LlABn.nY <br />:=J OCCUR D Cl.AIMSMAoE <br /> <br />I D~LE <br />"I RETENTION $ <br />WORKERS COMPENSATIONANO <br />EMPLOYERS' LIABILITY <br />,~ ~~~CUTIVE <br />Wyes, describe under <br />SPECIAL PROVISIONS below <br />L~or Liability <br />B <br /> <br />AUTO ONlY - EA ACCIDENT <br />EA ACC <br />AGG <br /> <br />OTHERlHAN <br />AUTOONlY: <br /> <br />EACH OCCURRENCE <br />AGGREGAlE <br /> <br />WC20000221400 11/24/2003 11/24/2004 <br /> <br />02BP240321 01/01/2004 01/01/2005 <br /> <br />..pESCRJP1]ON OF OPE,MTIONS ILOCAJ'lONS IVEHlCLESI EXCWSlONSADDED BYENOORSEMENT I SPECIAL PROVISIONS <br />~rov1des Evidence or Insurance <br /> <br />CERTlRCATE HOLDER <br /> <br />City of Centerville <br />1880 Main Street <br />Centerville, Mt1I 55038, <br /> <br />ACORD 25 (2001/08) FAX: (651)429-8629 <br /> <br /> <br />NAlC# <br /> <br />LIMITS <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />