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<br />ALLIED COM-PAR SUMMARY <br />REPRINTED 0610412004 <br /> <br />~) <br />I <br /> <br />Di.'~<..' <br />i j <br />~ f <br />~."."..~...~ <br /> <br />Allied <br />Insurance <br /> <br />A Natianwide8Company <br />On YOlIr Side'" <br /> <br />1100 LOCUST ST DEPT 1100 <br />DES MOINES, IA 50391-1100 <br /> <br />Number: <br />Named Insured: <br /> <br />ACP <br /> <br />7101568853 <br /> <br />Effective from 05/18/2004 <br /> <br />to 05/18/2005 <br /> <br />CENTER MART LLC <br /> <br />Mailing Address: <br /> <br />1801 MAIN ST <br />CENTERVILLE, MN 55038 <br /> <br />ALL COUNTY AGENCY INC <br />FOREST LAKE MN 55025 <br /> <br />22 23491 <br /> <br />(651)484-1661 <br /> <br />71 <br /> <br />Agency Name: <br />Agency Address: <br /> <br />Division Program <br /> <br />Total Premium <br /> <br />A PREMIER BUSINESSOWNERS. RETAIL <br /> <br />$547.00 <br /> <br />c <br /> <br />THIS IS NOT A BILL, SEE YOUR BILLING STATEMENT <br /> <br />. . <br /> <br />. <br /> <br />Estimated Total Premium: $ <br /> <br />547.00 <br /> <br />This ALLIED Com-Pak is a portfolio of individu,d policies which combines various <br />insurance coverages written in the AlLIED Group Compani9'S. It is !'lot a sing\.. <br />policy, blJta group of separate contracts of insurance for the various coverages <br />for whicn a premium is shown, <br /> <br />ESSOll <br /> <br />LKBO R 2004155 <br /> <br />INSURED COPY <br /> <br />ACP 7101568853 <br /> <br />71 0000089 <br /> <br />PAKSUM 0603 <br />