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<br />~----- <br /> <br />ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MIIIDDIYY) <br />12-31-01 <br />PRODUCER JAN 0 4 2002 THIS CERTIFICATE 'S ISSUED AS A MATTER OF INFORMATION <br />UMPM, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Valley View Rd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />eD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />..uerl Prairie. MN 55343 INSURERS AFFORDING COVERAGE <br />612.947-0161 <br />INSURED INSURER A' LLOYDS OF LONDON <br />RICHARD A. DE FOE ENTERPRISES, INC. DBA! INSURER B: <br />WATERWORKS BEACH CLUB <br />7281 MAIN STREET INSURER c: <br />CENTERVILLE, MN. 55038 INSURER 0: <br />I INSURER E: <br /> <br />COVERAGES <br /> <br />THE PQUCJES OF JNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR mE POUCY PERIOD INDICATED. N01WITHSTANDlNG <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 TEAMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />'~~ TYPE OF INSURANCE POUCY NUMBER ."-..' ~.mY/=8~ ~~~ 1~:J~~~ <br />A ~ERAL UABIUTV <br />X COMMERCIAL GENERAL LIABILITY <br />I CLAIMS MADE W OCCUR <br />X BROAD FORM END. <br />-~ <br />X $2,500 OED. <br /> <br />UMITS <br /> <br />EACH OCCUAR8\lCE <br /> <br />$ <br />$ <br /> <br />SOO,OOO <br />50,000 <br /> <br />UM 0001068 <br /> <br />01-01-02 <br /> <br />01-01-03 <br /> <br />FIRE DAMAGE (Anyone lire) <br /> <br />MED ExP (Anyone person) <br /> <br />, <br /> <br />PERSONAl & ADV INJURY <br /> <br />, <br /> <br />GENERAL AGGREGATE <br /> <br />, <br /> <br />500,000 <br />500,000 <br /> <br />~'L AGGAE~ LIMIT APP~ER: <br />X I POLICY I I P~RT I I LOC <br />~OMOBILE UABIUTY <br />_ ANY AUTO <br />f-- ALL OWNED AUTOS <br />SCHEDULED AUTOS <br /> <br />PRODUCTS - COMPfOP AGG <br /> <br />$ <br /> <br />h DEDUCTIBLE <br />r1 RffiNTlON $ <br />WORkERS COMPENSAOON AND <br />EMPLOYERS' UABlllTV <br /> <br />COMBINED SINGLE LIMIT , <br />(Ea accklent) <br />BODILY INJURY , <br />(Per pe1Son) <br />~ou INJURY , <br />(peracc:\dei'1l) <br />PROPERlY DAMAGE , <br />(Pelaccidenl) <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER lHAN EA ACe $ <br />AUTO ONLY: AGG ., <br />EACH OCCUffl'lENCE , <br />AGGREGATE , <br /> , <br /> , <br /> <br />- <br /> <br />r--- <br />f-:-- HIRED AUTOS <br />_ NON-OWNED AUTOS <br /> <br />- <br />I <br />HAR~AGE UABIUTV <br />ANY AUTO <br />I <br />l~ESS UABIUTY <br />W OCCUR D CLAIMS MADE <br /> <br />, <br /> <br />UM 0001068 <br /> <br />01-01-02 <br /> <br />I T~~yS;fJll{s I I Om- <br />EL EACH ACCIQENT $ <br />I E.L. D\SEASE - EA EMPLOYEE:: I $ <br />I EL DISEASE - POLICY LIMIT I $ <br />$1,000,000/1,000,000 <br /> <br />-- <br /> <br />A OTH" UQUOR LIABIUTY <br /> <br />01-01-03 <br /> <br />DESCRIPT1QN OF QPERATlONS/LOCATlONSlVEHIClES/EXClUSIONS ADDED BY ENDORSEMEHTISPEClAl PROVISIONS <br /> <br />RESTAURANT~AVERN <br /> <br />CERTIFICATE HOLDER I I AODmoNAl lNSURal, INSURER lETTER, <br /> <br />I~F CENTERVILLE <br />: LIQUOR LICENSING DEPT. <br />o MAIN STREET <br />CENTERVILLE, MN 55038 <br /> <br />I <br />ACORD 25-S (7197) <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE. CANCELLED BEFORE THE. EXPIRATION <br />D~EREOF, THE SUING""-'-'D WILL ENDEAVOR TO MAll -.1L DAYS WRITTEN <br />~TIC~ TO THE CEA~ATE H~DER ~A~ED E~ LEFT, BUT FAIWRE TO DO SO SHAU <br />IMPOS~\.~ UBUGATION OR UAB'u;" OF ANY " PO" THE 1~'i"R". ITS AGENTS OR <br />AEPR~~ATlVES. / " /j/ : <br /> <br />AUTHORlZEIl~~ES';~.:{!? ; / tJ JiJ-tfL-f; Ii // <br /> <br />'Cl @ ACORD COR~RATlON 1988 <br />