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<br />NDU-03-2005 11:39 From: <br /> <br />To: 6514298629 <br /> <br />P.2/2 <br /> <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE I I)A I E(MMlOOIVVYY) <br /> 11/3/2005 <br />PRODUCER THIS CERTIFICATE IS Issueo AS A MATTER OF INFORMATION <br />Pa.ul R Steffel Ins Agency, lna ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1709 Main Street ALTER THi: COVERAGE AFFORDED 13V THE POLICIES BElOW_ <br />Centerville, MN 55038 <br />651-762-7801 INSURERS AFFORDING COVERAGE NAIC# <br /> S~~ce Fund Mutual I~sur~nce Cuwp~y - <br />INSUR.I:Ll Kelly'S Korner, Inc. ..!..NSII~E~ A. <br /> INllURER R <br /> 7098 Centerville Road- - - - <br /> - ~SURt;1{ C. - <br /> - <br /> Centerville, MN 55038 ~Rmn' - <br /> 1651-653-7791 INSUReR Ii <br /> <br />COVERAGES <br /> <br />nlE POLICIES 010 INI$URANCE LISTEO DE-LOW HAVE BEEN II$SUED TO THI: INSURED NAMED ABOVE FOR THe POLICY PERIO!) INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOClJM~NT WITH RESPC;CT TO WHICH THIS CERTlrlCATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED lilY THE POLICIES DESCRIBED HEREIN IS SUBJeCT TO ALL THI: TERMS, Fl<(;LUSIONS AND CONDITIONS OF SUC~, <br />POl.lCll:;S, ^GGRECA TE LIMITS SI'IOWN MAY HAVe MEEN REDUCI'iO ~y PAID CLAIMS <br />IN~I( l\Dll'L ~~I;!~X EFFEr.T~F - F'8*{i1~~~<?N - <br />LTR NaRD .F rOLICV IIIU"'ltlI:K nA E MMlDDIVV LIMITS <br /> ~NF.'RAI IIAElILlTY eACH OCCIIRRFNI~l: $ - <br /> LJAMAl.il; ) V_I<ENTEO. <br /> COMMl:HCIAL GENERAl LIABILITY . PRFMI8ES (Ea O<:curer1(;81 ., <br /> '---'1 CIAIM:;;MArlF DOCCUR MI:D EXP (Any nne person) S - <br /> PCf<SONAL & N)V INJURY $ <br /> ~~RAI ACCIIEGATJ; S <br /> ~j'IL ^GGRnE LIMIT 19S I"I:H.. I'HODUCTl'l . COMr/oP AGG S <br /> POLICY ~Pi LOC <br /> ~llTOMOeILE LIABILITY COMB INF.O l\INCLE LIMIT $ <br /> ANY AUTO (1:8..",.1.1<:<11) <br /> ..- <br /> = ALL OWNF'O AUl OS ----.---- BOnll-VINJUIlV ~--- -- - ----- <br /> -- ----- -~--- -------- ---- --------- $ <br />---- -- rsCHEDUiEifAUTOS-- - --~ (f'9fpe,"lllIII) <br /> - <br /> HIRED AUTOS ROnn YINJURY <br /> - (PcraCClclent) S <br /> - NON-OWNEOAUTOS - <br /> PROPERlY DAMAGE S <br /> (F'eracciClenl) <br /> WlRAGE LIAAIIITY AUTO ONLY EAACCILlI:NT $ <br /> R-ANYAUTO OTHEH.IHAN F.AACC $ <br /> AUTO ONLY: AGG $ <br />--c- I:XCl:llSlllMBRFl1 A liABILITY EACH OCCURRENr.r S <br /> n.OCCUK L] r.IAIM!lMAOE - <br /> A(;CI~GATt .. <br /> '-- S - <br /> R OEDUCTlaLE $ <br /> RETENTION $ S <br /> W(JIolI(I:HS COMPENSATIO'" ANn 1,';';~~L~~,~ill IO~R - <br /> EMPI OYFR$' LIABILllY 022916 201 05/09/05 05/09/06 ~ 1_ FACH ACCIDCNl $ 100 ,~ <br />- tINY PROPRIETOIlJPA~TNeR/I!Xec.UTIVE <br />A orrlceFllMFMRFA EXeLUDI:!D7 I:.L. LlISEA!lF - EA EMPLOYE $ soo,oqo <br /> If YC5, dcscnDO uncler C L nl$I:A.::;1: - POLICY LIMIT $ 100,000 <br /> S~I:C;IAL PROV/SIONR hnlnw <br /> OTHER <br /> I I <br />DESCRIPTION OF OPERATIONS/LOCAnON$/VI:HICLESI EXr.I.lIl'.l{)N$ ADDCD DYC~OOKSI:MENT I SPFr.IAI. I"ROVISIQNS <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Centerville <br />18aO Main Street <br />Centerville, MN 55038 <br /> <br />CANCELLATION <br />SHOULLl ANY OF THF MOVE DCSCRlaEO I'OLICIES BE CANCELl.rn BEfOHI: THE EXPIRATIO <br />DATE TllrrI!'!)... I'HE ISSUING INSURER Will FNn..AVfJR TO MAILd.!L.. DAY:;; WRITTeN <br />N() liCE TO T11li: CER'I'iFICATE HOI nl'R NAMCD TO '1 HI: LEFT. BUT FAILURE TO DO SO SHALL <br />IMPO!lE NO O~I.ICATION OR 1,IAIl <br />I1CPRCSENIAIIVES. /..--- <br />AUTllor~I:a;u HI:PRE NTATI <br /> <br /> <br />ACORD 25 (2001/08) <br />