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<br />Date: 06/03/09 Time: 12:33 PM To: 1-651-429-8629 <br /> <br />651-641-8981 <br /> <br />Page: 001-002 <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE I OAT1/r"DIYYYYl <br />~._.._~.. 6/3 2009 <br />PRODUCER: (651)644-0311 FAX: (651) 641-8981 THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION <br />Paule~/Slater, tne ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2610 University Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />S~. Paul MN 55114 INSURERS AFFOROING COVERAGE NAIC # <br />INSURED INSURER Po:. Amerioan Economy 19690 <br />Jedls Liquor Inc. INSURER B: <br />7093 20TH AVE S INSURER C <br /> INSURER 0; <br />CENTERVILLE MN 55038 INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 1HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWIlHSTANDING ANY <br />REClUIREMENT, TERM OR CQND1110N OF AN'( CONtRACT OR OTHER DOCUMENT \MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 1HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br />::5r=' ~,= 'ROO' REOlJCon <br />INSR L POLICY EFFECTIVE POLICY EXPIRATION <br /> TYPEOFINSUI\ANCE POUCYNUMeEft DAtEiMwDn,w...~ DATE LIMITS <br /> ~ERAL LIABILITY ."NCE $ <br /> COMMERCIAL GENERAL UABJLITY ~~~lSk~~~~\ $ <br /> I CLAIMS MADE D OCCUR M~EXP(M onel)$f$Ol'1) $ <br /> ~ PERSONAL t ADV INJURY $ <br /> O~'OD" I <br /> - <br /> ~'L AGGREGATE LIMIT nES PER: Dom q<. $ <br /> [Mlleyl I~g LOC <br /> ~OMOeu..E L1A.BILITY COMBINED SINGLE LIMIT $ <br /> (E9IiCCident) <br /> - ANY AUTO <br /> - ALL O\t;>NED AUTOS BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS BODILY INJURY <br /> (PerlKlCident) . <br /> - NON-Q\M\lED AUTOS <br /> - PROPERTY DAMAGE $ <br /> (peracciderrt) <br /> ~".E LIABILITY AUTO ONLY. EA ACCIDENT . <br /> ANY AUTO OTHER THAN EAAC.G $ <br /> AUro ONLY: AGO' <br /> EXCE$SllJMBRELLA LIABIUTY , <br /> ::J"OCClJR 0 CLAIMS MADE AGGREGATE $ <br /> . <br /> =i DEDUCTIBLE . <br /> RETENTION ~ <br /> WORKERS COMPENSATION AND STAT. lOll;'- <br /> EMP1..0YERS" LIABILITY <br /> ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT , <br /> OFFICERIMEMBER EXCLUDED? E L. DISEASE - EA EMPlOY~ $ <br /> ~~I~~Vl~er EL DISE.A.SE - POUCY UMrT $ <br />A OTHER Liquor Liabili. ty 02SP2397906 7/1/2009 7/1/2010 $2,000,000 Qocurr <br /> $4,000,000 Aggreqat. <br />DESCRIPTION OF OPERAlIONS/l.OCATIOI\IS/VEHICLESlEJ:.CI-USIONS "-ODED ey ENDORSEMENTISPEctA1. PRO\lf$lONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />(651)429-862\1 SHOULD At.JY OF THE ABOve DESCRIBED POliCIES BE CANCELLED BEFORE THE <br />City of Cen~ervil1e EXP&RATlON DATE THEREOF, THE ISSUING INSURER WILL ~MAIL <br />At~: Theresa ~ OAYS WRITTEN NOT1CE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, iGO< <br />1880 Main S~reet ~~lItlE.X~lOO(iOOOOOO\X <br />Centervill, MN 55038 <br /> A.uTHORlZED REPRESENlATlVE 2~"-~ ~ <br /> J Stanley/JAAKER ~~.. -. -- ---~-- <br /> <br />ACORD 25 (2001/081 <br />INS025 ('"08)"" <br /> <br />.. ACORD CORPORA liON 1888 <br />Page1d2 <br /> <br />11 <br />