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<br />~ <br />~. <br />'rl' <br /> <br />11/29/2886 <br /> <br />12:38 <br /> <br />PAULET SLATER ~ 4298629 <br /> <br />NO. 077 <br /> <br />GJ001 <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE -I DATE (MMlDoNYVY) <br />TM 10/11/2006 <br />PRODUC~1l. (651) 644-0311 FAX (651) 641-8981 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />paulet/Slater, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2610 University Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />st. Paul MN 55114 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED n>lSURERA: Berk~ey Risk 020 <br />Cen~erville Liquors, DBA: GNAW Inc INSURER B: American E oonomy 19690 <br />7093 20th Ave INSURER c: <br /> INSURER D: <br />Centerville MN 55038 INSURER E: <br /> <br />COVERAGES <br /> <br />;1 <br />:1 <br />'I <br />! <br />I <br />I <br />I <br />I <br /> <br />THE POLICIES OF INSURANCe LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlVVlTHSTANDING ANY <br />REQUIREMENT, TERM OR CONDIT10N OF ANY CONTRACT OR OTHER DOCUMEIIIT WITH RESPECTW WHICH THIS CERTIFICATE MAY Be ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ~~O'L TYPE OF INSURANCE Pg;~~Pi~~E ~~\flI~~N <br />LTR SRD pOLley NUMBER L1Ml1~ <br /> ~NERAL LlAeILI'TY EACH OCCURRENCI: $ <br /> I-- 3MMERCIAL GENERAL L1AElILITY ~~g,~J9E~~~.?eneel $ <br /> I-- ClAIMS MADE 0 OCCUR MED EXP IMV one DBTWl'Il. $ <br /> PERSONAl.. & ADV INJURY $ <br /> GENERAL AGGREGATE ~ <br /> n'L AGG~nE LIMIT nES PER: PRODUCTS. COMP/OP AGG $ <br /> POLICY I ~:& LOC <br /> ~TONlOeIL!; LIABILl'lY cOMBINED SINGLE LIMIT <br /> (Ea ao;id"",t) I <br /> - AtoN AUTO <br /> - ALL OWNED AIJTOS BODILY INJURY <br /> Iper pef$cn) I <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS eODI~Y INJURY <br /> (Per "cci"enQ $ <br /> '-- NON~WNED AIJTOS <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GAIUGE LIA13ILITY AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN lOA ACC $ <br /> AlJTO ONLY: AGG $ <br /> EX05SSllJMBRELLA UABILI'JY EIi.CH OCCUFlR~NCE $ <br /> o OCCUR 0 CLAIMS MADe AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE ~ <br /> il.ETEtmON $ $ <br />A WORKE~ COMP!;NSATlON AND Renewal of I W~~TATU-1 IO~. <br /> TO LIMITS <br /> ~MPLOYERS' UABILrIY 100000 <br /> ANY PROPIl.IETORJPARTNERJeXECUTlVE E.L EACH ACCIDENT $ <br /> OFFICERJMEMBE~ EXCLUDED? wC220415972eOO 1/6/2007 1/6/2008 I;.L. DISEAse - 5A EMPLOYEE $ 500000 <br /> Ify"'. describe und~r 100000 <br /> SPECIAL PROVISIONS ~IOW E.L. OIS!:ASE - POLICY LIMIT $ <br />B OTHeR Liquor Liability 0213P239790JO 01/01/2007 12/31/2007 $2,000.000 Occur~ <br /> 94,000,000 A9~9gate <br />DESCRIF''TlON OF OPE;RA"'ONSILOCA.1l0NS/V~HICLESn;XCLUSIONS ADDED fN ~NOOIlSEMEIlTISPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />(651)426-2859 SHOULD ANY OF THE ABove D~SCRlBED poLICIES 6E; CANCELLED 6EFORE TIlE; <br />City of Ce~terville EXPIRATION DATE mEREOl'. THE ISSUING INSURER WILL ~~ MAIL <br />1880 Main St 30 DAYS WRITTEN NOllCE TO mE CER'TlACATE tlOLDER NAMED iO THE LEFT. ~x <br />Centervill~, MN 5503B *~~~~~~1!l~ <br /> ~~~ <br /> AUTHORlil:ED ~EPRESENTATlVE ~ ~-- \. <br /> Jeffrey Stanley/AML <br /> <br />ACORD 25 (2001/08) <br /> <br />VMP MoMS<le Solutions. Inc, 1600)327-<)545 <br /> <br />~ ACORD CORPORATION 1988 <br />&1~10f2 <br />