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<br />ACORO,. <br /> <br />MN01-Burns & Wilcox, Ltd ~ M[nnesota <br />60 Plato Blvd East <br />St. Paul <br /> <br />CERTIFICATE OF LIABILITY INSURANCE DAT;i;~~~:;7) <br />I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />[ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />. INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A SCOTTSDALE INSURANCE COMPANY <br /> <br />MN 55107 <br /> <br />PRODUCER <br /> <br />INSURED <br /> <br />TRIO INN, THE <br />MOUNTAIN ENTERPRISES INC <br />7082 CENTERVILLE ROAD <br />CENTERVILLE <br /> <br />MN 55038 <br /> <br />INSURER B: <br />INSURER c: <br />INSURER D: <br />INSURER E: <br /> <br />COVERAGES <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 MAYBE ISSUED OR <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 />ll~!- A~'?, I POLICY NUMBER POUCY EFFECTIVE POllcyeXPIRA.T1ON lIM~TS <br /> TYPFrn::INSIJRA~ <br /> GENERAl. LIABILITY EACH OCCURRENCE $ -- <br /> DAMAGE TO RENTED <br /> ~MMERCIAL GENERAL LlABIUl'( .ffiEJVI..JSE,.c;rFaaccurence' $ <br /> =r CLAIMS MADE 0 OCCUR MED EXP IAnvone Derson' $ <br /> PERSONAL & ADV INJURY $ <br /> _J-~---- GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: REr !RI V k~T PRODUCTS - COMP/OP AGG $ .- <br /> j POUCY~ LOC <br /> ~TaMOB1LE UABIUTY JUl , 6 2004 COMBINED SINGLE LIMIT $ <br /> - ANY AUIO (Eaaccident) <br /> -- All OWNED AUTOS BODilY INJURY <br /> $ <br /> ~ SCHEOULED AUTOS (Per person) I...--~- <br /> -~~- <br /> - HIRED AUTOS BODlL Y INJURY <br /> (Peracddent) $ <br /> -- NON-DINNED AUTOS <br /> - -'-'--'--~ PROPERTY DAMAGE $ <br /> (peraccldent) <br />L- -- -~------ I----- <br /> GARAGE LIABILITY ~TO ONLY - EA ACCIDENT $ <br /> lNY AUTO OTHER THAN EA Ace $ <br /> AUTO ONLY: _A~ $ <br /> -- 1--- <br /> :3ESSJUMBRELLA UABIUTY EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE ~~GGREGATE $ <br /> ~. $ <br /> l ~EDUCTIBLE - $ -~ <br /> RETENTION $ -- e--~ e---~ $ <br /> WORKERS COMPENSATION AND I we STATU- I 10J.':'- <br /> EMpLOYERS. L1ABIUTY <br /> ANY PROPRIETORlPARTNERlEXECUT1VE ~~l. EACH ACCIDENT $ <br /> QFFfCERlMEMBER EXCLUDED? L E.L. DISEASE - EA EMPLDYEF $ <br /> If es, describe under <br />~l-~~ECIALPR0V1SI0NSbelow ~__ ______~_ ____ I---. E.L DISEASE - POLICY LIMIT $ <br />A OTHER. I 12/31/2004 EACH COMMON CAUSE $300,000 <br /> LIQUOR LIABILITY ~ CLS0977206 12131/2003 <br /> GENERAL AGGREGATE $300,000 <br />DESCRIPTION OF OPfRAl1ONS I LOCATIONS 1 VEHICLES} EXCLUSIONS ADDED BY ENDORSEMENT /SPECIA.L PROVISIONS <br />LOCATION: SAME <br />"'COVERAGE INCLUDES OUTDOOR EVENT ON 08/28/2004 IN PARKING LOT ON INSURED'S PREMISES. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />REPRESENTATIVES. <br />AUTHORIZED REPRESE <br /> <br />SHOULD ANY OF rHE ABOVE DESCRIBED POUCIES BE CANCELlED BEFORE THE EXPIRATlO" <br />DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAIL ~ DAYS WRI" <br />NOTICE TO THE CERTIfICATE HOL.DER NAMEO TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />~ <br />~ <br /> <br /> <br />@ACO 0 CORPORATION 1988 <br /> <br />CITY OF CENTERVILLE <br />1880 MAIN ST <br />CENTERVILLE <br /> <br />MN 55038 <br /> <br />ACORD 25 (2001/08) <br />