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<br />LIMITS OF INSURANCE <br />PREMISES & OPERATIONS <br />General Aggregate - $ 1,000,000 <br />Each Occurrence - $ 1,000,000 <br />PRODUCTS & COMPLETED OPERATIONS <br />Aggregate - <br />Each Occurrence - <br />PERSONAL INJURY AND ADVERTISING INJURY - <br />DAMAGE TO PREMISES RENTED TO YOU - <br />MEDICAL PAYMENTS - <br /> <br />$ 1,000,000 <br />$ 1,000,000 <br />$ 1,000,000 <br />$ 50,000 Any One Premises <br />$ 5,000 Any One Person <br /> <br />Twice the "General Aggregate Limit" shown is provided <br />at no additional charge for each 12 month period. <br /> <br />LOCATION # 1: 720 Centerville Road <br />Hugo, MN 55038- <br />Program: Special <br />Territory: 6 - Remainder Of County <br />County: WASHINGTON <br /> <br />------------------------------------~--~--------~--------------------~---------~- <br /> <br />Classification: WAREHOUSES-PRIVATE (NOT FOR PROFIT) <br />Class Code: 68707 <br />Premium Basis: Area Exposure: 3,000 <br /> <br />Premi urn . . <br /> <br />PREMISES OPERATIONS 1 PRODUCTS COMPLETED OPS <br />77.620 I 0.750 <br />x 1.000 I x 1.000 <br />x 1.000 I x 1.000 <br />x 1.000 I x 1.000 <br />x 1.000 I x 1.000 <br />77.620 I 0.750 <br />x 3.000 I x 3.000 I <br /> <br />-------------------------1-------------------------1 <br /> <br />$ 233.00 I $ 2.00 I <br />$2.00 <br /> <br />Base Rate <br />Company . <br />Increased Limit (22). <br />Package . <br />Merit Rating. <br />Final Rate. <br />3,000/1,000 <br /> <br />TERRORISM - CERTIFIED ACTS <br /> <br />General Liability Premium For This Location <br /> <br />$237.00 <br /> <br />Total General Liability Premium <br /> <br />$237.00 <br /> <br />-------------------------------------------------~---------~-------------------~ <br /> <br />TOTAL PROPOSAL PREMIGM <br /> <br />$1,170.96 <br /> <br />-------------------------------------------------------------------------------- <br /> <br />PAID IN FULL DISCOUNT <br />TOTAL PREMIUM IF PAID IN FULL <br /> <br />-112.59 <br />$1,058.37 <br /> <br />This proposal requires notification of the Terrorism Risk Insurance <br />Act of 2002. Please refer to form 59345 IMPORTANT INFORMATION <br />REGARDING TERRORISM RISK INSURANCE COVERAGE and REJECTION OF TERRORISM <br />RISK INSURANCE COVERAGE, which your agent will provide you for <br />information about the act. An additional premium charge may be made <br />after 12-31-2014 if the Act is not extended or if the Act is revised <br />in any way. It will not apply if the Act is simply extended. <br /> <br />Version 07/08/2008 <br /> <br />Page 3 of 4 <br /> <br />Minnesota <br />