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<br />PRODUCER (651)644-0311 <br />Pau1et/S1ater, Inc. <br />2610 University Ave., <br />St. Paul, 'MN 55114 <br /> <br />#200 <br /> <br />DATE (MM/DDNYYY) <br />10/25/2005 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />I <br /> <br />ACOBJ:t CERTIFICATE OF LIABILITY INSURANCE <br />FAX (651)641-8981 <br /> <br />, '" <br />INSURED Centervi 11 e liquors <br />DBA: GNAW Inc <br />7093 20th Ave <br />Centervi11e, MN 55038 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURER A: Safeco Insurance <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br /> <br />NAlc 'fj <br /> <br />, <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION 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 CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />II~~: ~~~: TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION UMITS <br /> GENERAL LIABIUTY EACH OCCURRENCE $ <br /> - DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY $ <br /> - :=J CLAIMS MADE 0 OCCUR <br /> MED EXP (Anyone person) $ <br /> - <br /> PERSONAL & ADV INJURY $ <br /> - <br />,; GENERAL AGGREGATE $ <br /> ~ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COM~OPAGG $ <br /> ~, 'n PRO- nLOC <br />, POLICY , JECT , <br /> AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT <br /> - (Ea accident) $ <br />" ANY AUTO <br /> - REO] f," '?"'~"1'"i!I D <br /> ALL OWNED AUTOS BODILY INJURY <br /> - f:d. ~' .!!I (Per person) $ <br /> SCHEDULED AUTOS <br />~.- ---- - --- - -- --- - - ---------.-.- ..----.-- ------- ----u--OCy-- _.- ---~-'-"---- -- - ----.---- ---..- - -- --- _on -.' <br /> HIRED AUTOS ~ La05 BODILY INJURY <br /> - (Per accident) $ <br /> NON-oWNED AUTOS <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE UABIUTY AUTO ONLY- EA ACCIDENT $ <br /> =l ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA UABIUTY EACH OCCURRENCE $ <br /> :=J OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> =l DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I WC STATU-I rOJ.1;l- <br /> EMPLOYERS' LIABILITY E.L EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNERlEXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ <br /> If yes, describe under E.L. DISEASE - POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> O]HER liability ~ENEWAL OF 02BP2397901 01/01/2006 01/01/2007 $2,000,000/$4,000,000 <br />A L1quor <br /> " <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Provides evidence of insurance. <br /> <br /> <br />DER <br /> <br /> <br />City of Centervi11e <br />1880 Main St <br />Centervi11e, MN 55038 <br /> <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />ACORD 25 (2001/08) FAX: (651)426-2859 <br /> <br /> <br />@ACORD CORP06o 1988 <br />