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AC,ORQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY) 10/04/2000 PRODUCER (651)644-0311 FAX (651)641-8981 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paulet/Slater, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2610 University Ave., #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. St. Paul, MN 55114 INSURERS AFFORDING COVERAGE INSURED Sahawk, Inc. INSURER A: St. Paul Fire & Marine DBA Sager's Liquor INSURER B: 7093 20th Avenue South INSURER C: Centerville, MN 55038-0000 INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR .-. P~l-+~~~~)gg~\E Pgk!fll~~~~N LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY BFSOOOO0470189 01/01/2001 01/01/2002 EACH OCCURRENCE $ 1000000 - 1000000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 1000(J A PERSONAL & ADV INJURY $ 100000(J - 2000000 GENERAL AGGREGATE $ - 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ I nPRO. n POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ==j ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ :=J OCCUR D CLAIMS MADE AGGREGATE $ $ ==j DEDUCTIBLE $ RETENTION $ $ 11f{~,STATU-, I IOTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE $ E.L DISEASE. POLICY LIMIT $ OlHER "b"l . BFSOOOO0470189 01/01/2001 01/01/2002 CSL - $1,000,000 A Llquor Lla 1 lty Total Li mi t - $2,000,000 pjESCRIPTlON OF OPERATIONS/LOCATIONSNEHICLESfEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ff Sale Liquor CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Centerville BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1880 Main Street ..: ;;;"~'~ OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Centerville, MN 55038 f:I ?~v- Au;r,~D REPRESENTATIVE -------- -'" 1'7 : l J' (~ ~f 1 r/,VIYl ') .... ""ILP I 'l , ~ ... _,J .' A. " -" --.. ACORD 25-S (7/97) u @ACORDCORPORATION 1988