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<br />ACORLt CERTIFICATE OF liABILITY INSURANCE I DATE (MIIIDDIYYYY) <br /> 10/25/2005 <br />PRODUCER (651)644-0311 FAX (651)641-8981 THIS CERTIFICATE "18 ISSUED AS A MATTER OF INFORMATION <br />Paul et/Sl ater, Inc. . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />26~OUnivers;ty Ave., IZOO HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR.. <br /> ! ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />'~St;... Paul ~""'.~N"'551~4': .' ~ - . . . . .......... --. ..... . r, ," ,..... . -. .. . -.... . - ..,... a.. ...... ... . <br /> . . . . . -. ,. .-~ . ., <br />: . . i~Alc -j' '.. . . . <br /> : ...-. : INSURERS AFFORDING COVERAGE <br /> ,,-. ... _...~. . . .- . . . <br />I_U~ Centervill&'Liquors INSURER k Safeco Insurance <br /> '-" <br />DBA f GNAW Inc INSURER B: <br />7093 20th Ave INSURER C: <br />Centerville, MN 55038 .... INSURER D: . <br /> . . <br /> INSURER E: <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 QR <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 />I~": ~?J TYPE OF INSURANCE POUCY NUMBER P.PJ&Y EFFECTIVE POUCY EXPIRAnON <br />GENERAL LIABILITY <br />!--- <br />COMMERCIAL GENERAL LIABILITY <br />"'-0 ClAIMS MADE 0 OCCUR <br /> <br />-' <br /> <br />UMITS <br />EACH OCCURRENCE $ <br />e~~~r9_RENTED.,. $ <br />MED EXP (Anyone person) $ <br />PERSONAL & AD.V INJURY $' <br />GENERAL AGGREGATE $ <br />PROoucrs - COMP/OP AGG $ <br /> <br />J!'! . <br /> <br />--- " <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />~ POLICY n ~ n LOC <br />AUTOMOBLE UABILITY <br /> <br />- <br /> <br />ANY AUTO <br /> <br />- <br /> <br />All OWNED AUTOS <br />!--- <br />SCHEDULED AUTOS <br />!--- <br />HIRED AUTOS <br />!--- <br />NON-OWNED AUTOS <br /> <br />RE01~rVED <br />DC', l.~. ~005 <br /> <br />COMBINED SINGLE LIMIT S <br />(Ea accident) <br />BODilY INJURY S <br />(Per person) <br />BODilY INJURY S <br />(Per accident) <br />PROPERTY DAMAGE S <br />(Per accident) <br /> <br />~ <br /> <br />--- <br /> <br />GARAGE UABIUTY <br />R ANY AUTO <br /> <br /> <br />EXCESSlUMBRELLA LIABIUTY <br />o OCCUR D CLAIMS MADE <br /> <br />~ DEDUCTIBlE <br />n RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' UABlUTY <br />ANY PROPRIETORIPARTNERlEXECUTIVE <br />OFFICERlMEMBER EXCLUDED? <br />If yes. desa1be under <br />SPECIAL PROVISIONS below <br />A L1q~or Liability ~ENEWAl OF 02BP2397901 01/01/2006 <br /> <br />01/01/2007 <br /> <br />AUTO ONLY. EA ACCIDENT S <br />EAACC S <br />AGG S <br />S <br />S <br />S <br />S <br />$ <br />I ~~~T~~~ I 10~- <br />E.l. EACH ACCIDENT S <br />E.l. DISEASE. EA EMPLOYEE S <br />E.l. DISEASE. POLICY LIMIT $ <br />$2,000,000/$4,000,000 <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> <br />~rovides evidence of insurance. <br /> <br /> <br />" <br /> <br /> <br />City of Centerville <br />1880 Main St <br />Centerville, MN 55038 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> <br />, . <br /> <br />EXPIRAnON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />~ DAYS WRITTEN NonCE TO THE CERnFlCATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOncE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br /> <br />ACORD 25 (2001/08) FAX: (651)426-2859 <br /> <br />~ACORD CORPORATION ~ <br /> <br />. ~/ <br />