Laserfiche WebLink
<br />..BeoRD", CERTIFICATE OF LIABILITY INSURANQE I DATEii lMMIODI'YYYYI <br />10/08/2003 <br />pRODU""R (651)644-0311 FAX (651)641-8981 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Paul et/Sl atec , Inc. ONLY AND CONFERS N~RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFlC TE DOE:S NOT AMEND, EXTEND OR <br />2610 University Ave., #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />St. Paul, MN 55114 I <br /> INSURERS AFFORDING COVERAGE: NAIC# <br /> I <br />INSUlteD GNAW, Ine . INsuRE:RA; St. Paul Fire" Macine <br />DBA Centerville Liquors ttSUReR 8: I <br />7093 20th Avenue South INSUReR C; I <br />Centerville, MN 55038-0000 INSURER 0; I <br /> INSURER E: I <br /> <br />COVE <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ~OVE FOR THE: rOLlCY PERIOD INDICATEO. NOTWITHSTANDINI <br /> IWY REOUIREMENT. TERM OR CONDITION OF A~ CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE IsSuED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THE POI.ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T~RMS. EXCLUSIONS AND cONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />J~~ ~~i TYPE. OF INSURANCE PO\.IC"i lIIUMBER polJCl' IEFFEC~ POUCY EXPIRATION WITS <br /> ~ENiRAL l1ABILfTT B1<01283267 07/01/2004 01/0l/200 EACH OCCURRENCe S l,OOO.OO< <br /> X COMMERCIAL GENeRAL ~JUlV CAMAGE ro RENieD $ l,OOO,OOf <br /> I ClAIMS MAD' 0 OCCUR r.a:o EXP tAny Ol'\!person) $ 10,001 <br />A PERSONAL & AOV INJURY S 1 000,001 <br /> GENrnAL AGGREGATE S 2,000,001 <br /> GEN'LAGG~n~L1MIT APPLIes ~~ PAODUCTS.COMP~PAGG $ 2,000.001 <br /> I POUCY ~rg: n lOC . <br /> ~OMOBILE UAIIUTY . COMBINED SINGLE LIMIT <br /> s <br /> ANY AUTO (EaillOddetll) <br /> - <br /> - ALL OWNeD AUTOS BOOILY INJURY <br /> IPer person) S <br /> - SCHEDULED AUTOS <br /> - HIl~eC AlITOS BODilY INJURY <br /> (PerDC;ide!'lQ $ <br /> - NON-QWNEDAUiOS <br /> PROPERTY DAMAGE S <br /> (p~aeclde"t) <br /> ~G' UAIlILITY AUTO ONLV-EA ACCIDIiNT $ <br /> ANY AUrO OTHeR T><AN "'ACC $ <br /> AUTO ONLY: AGG S <br /> pCOSSlUM""1.A UABIUT\' EACH OCCURRENCE $ <br /> OCCUR 0 Cl,.A.IMS WWe AGGREGATE S <br /> $ . <br /> R D'DUCT"'" $ <br /> RETENTION S $ <br /> VIIORKERS COMPeNSATION ANg 1.v,t,'6~~')I;, I 10TH- <br /> EMPLOYERS' uASlUTV E.L. eACH ACCIDeNT $ <br /> AN'( pROPFUerORJPAmNcrtlEXECUTlV&: <br /> OFFICER/MEMSeA exCLUDED? E,L, DISE4SE. - EA I!MPLOVE $ <br /> 1f~t,desct'ibeund6l' <br /> S ECIAL PROVISIONS celo..... U- DISEASE: - POLICY LIMIT S <br /> OTHER . .. BK01283Z67 07/01/2004 0l/01/Z15 CSL - Sl,OOO,OOO <br />A ..,quor L,ab,l,ty Total Limit - SZ,OOO,Ooo <br />DESCRJPTlON OF Of!lEAATIONS' L.OCAiJONS IVEHIClES I EX:CL.lJSIONS ADDED BY SllDORSEMENT 1 spECIAL I'ROVlSIONS <br />rovides Evidence of Insurance <br />Jorkers eo""ensation evidence has been ordered and will follow directly lrom carrier <br /> <br />City of Centerville <br />1880 Main Street <br />Centervil1e, MN 55038 <br /> <br />ELLATI <br />, <br />SHOULD AIC'(OF THEABOYE ~ESORlBEO POUCIES BE CANCEl.LED BeR)RETME <br />EXPIRATION DATE OF. ~ElSSUINGINSURe~WILL. ENDEAVOR TO MAIL <br />...1L DA TOTH!;. CERTIFICATE HOlDER NAMED TOTHE LEFT, <br />TICE SHAll. IMPOSE NO OBUGATlON OR UABIUTY <br />rrs AGeNTS OR REPRESENTATlVf.S, <br /> <br />TIFICATE DER <br /> <br />ACORD 2S (2001/08) <br /> <br /> <br /> <br />\. <br /> <br /> <br />@ACORD CORPORATION 1988 ::: <br /> <br /> <br />bP:0l p00c/Sl/E0 ~ <br /> <br />A <br /> <br />l00~ <br /> <br />Pc9"ON <br /> <br />bc98bcP ~ ~31~S 13ln~d <br />