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<br />Da~e: 11/20/00 Time: Ot,03 PM To: City Ceneerville @ 429-8629 <br /> <br />POlS'" 001-002 <br /> <br />ACORfJTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/ODIV'f) <br />10/25/2000 <br />lCDUCE'R (651)429-33&3 FAX (651)429-0843 H115C l~'''' I ~I'( OF I NI"Ot1NA 'IUN <br />h@ Beulk@ Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />17a2 Washington Avenue ALTER THE COVERAGE AFFORDEO BY THE ~UCIES BELOW. <br />(hite Bear Lake, MN 55110 INSURERS AFFORDING COVERAGE <br />SURED Mountaln EnterprlSes, Inc. and Trlo Inn iNSURER A: American Country Insurance Co <br />7082 Centerville Road INSURER 8: <br />Hugo, Mn 55038 INSURER c: <br /> INSURER D: <br />; iNSURER E: <br /> <br />:>VERAGES <br /> <br />THE POLICIES OF INSU."lANCE liSTED BELew HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAiED. NOTWITHSTANDING <br />ANY REQUIR!:MENT, TERM OR CONDITION OF ANY CONTRACT OR OrHER DOCUMENT WITH RESPECT TO 'NHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY "ERTAIN, THE INSUAANCEAFFORDED BYTrlE POliCIES DESCAIBEDHERElN IS SUBJECT TO ALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />FOLlCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLIIIMS. <br />I;' TYPE OF INSURANao ?O~ICYNUMBER DATE 'fMM'I5'D;)!.n" D4fE fM!II''Dcrri; LIMITS <br /> GENEFlAL LIAilIL!TY EA.CH OCOJI'lRENCE S <br />I-- <br /> COW"lE=i::AL GENERAl LiA81L1 "Y FIRE DA.M"G~ (Anyon. !i'e) $ <br />I-- P o...A]"I5 MADE 0 =1JR <br /> MED EX? r;..ny cne Jamor) $ <br />- <br /> FEFSCNAL a ADV I~JJ4Y $ <br />- <br /> GENERi'L AGGREGATE $ <br />- <br /> GEN'L AGGREGrE UMi- ,,"-poLIES -ER: FRODUCTS.. G:,MP/OO AGG $ <br />'1 .nPRO- n <br /> POll CY JECT L')C <br />AUTClIolOBILf UABlUTY COMBINED SiNGLE LIMIT <br />- tEa aeel de'!) $ <br /> ANY AU70 <br />-- <br /> ALi.. 0\11/\,1 =D AUT as 50DIL Y I"JJURY <br />- \f'flr.:erOOI1) $ <br /> SCHEDULEC AUTOS <br />- <br /> HIFE=' AUTOS BOOIL v INJURY <br />-- (P€lf <3cGldort) $ <br /> NON.OWNED AUTOS <br />.-- <br /> PROPERTY DA~AGE $ <br /> (per scGrd'3rt) <br /> GARAGE LIABILITY AI.. TC ONLY. EA ACCD"NT ~ <br />=i ANY AUTO OTHER Ti"flN EA'I~ $ <br /> ALTO CNL Y: AC'3 $ <br /> EXCESS LIABILiTY EliCH OCCURRENCE I> <br />::J OG'CUR 0 (tAWS MADE AGGREGAT~ $ <br /> S <br />=i DEDUCTIBLE $ <br /> ;€7E1\ T10N f $ <br /> WORKERS COMPENSATION AND I T"&,~ If:J 'ts I I 'EFt <br /> EMP~OYERS' UABlLlTY E.L. EAGI "CClDE~H $ <br /> E:L CI SEA.SE . EA EMPcOVEE ~ <br /> E.L D1SE.^,SE.. ?OUCY uvn $ <br /> o;THSF LiabHity LOOO1519 01/01/2001 12/31/2001 ""~See Below** <br />Llquor <br />" <br />'sa:lIPTlON OF OPEFlATIONSILOCATIONS'Ve:HICLES/EXCLUSlONS ACOEO BY ENDORSEMENT/SPECIAL PRCNISIC/IIS <br />-Each PersQn $~OO,OOO. BI-Each Cammon Cause $300,000. Property Damage <br />ch Conmon Cause $300,000. Loss of means of Support-Each Person $300,000. Loss of Means <br />Support-Each CoITll'lJ n Cause BOO,OOO. Annual Aggregate $300,000. <br />EF!TIFICATE HOLDER I I AOOITlCNAL INSURED; INSURER ~ETTEFl: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLlOES 13E CANCE\J..EO SEFORE THE <br /> EXPIRATION DATE THER?:O". THE ISSUING COMPANYWIU- ENl;EAVOFl TO MAlL <br /> ~OAYSWI'lITTEN NOTice TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, <br /> City of Centervi 11e BUT FAILURE TO MAIL SUCH NOTICE SHAU-IM~OSE NO OSWGoA.TlON OR UAeIUTY <br /> 1880 Main Stret OF ANY KIND UPON Tf-lE COMPANY, ITS AGENTS OR FlEPRESENTATlVES. <br /> Center\lille, MN 55038 AUTHO!'IIZED FlEPFlESENTATWE <br /> Gordan R. Beulke <br />::ORD 25~ i7/V f) FAX: (651)429-8629 ll<),Q,t;OKU ._ 19S1l <br />