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<br />ACORD CERTIFICA TE OF LIABILITY INSURANCE DATE (MMlDDNY) <br /> no . 04/02/2004 <br />PRODUaffi 763-559-2221 FAX 763-559-1946 !.':'!.~: ..~!.'''''' ,,'u"' <br />Park Valley Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3131 Fernbrook Lane lilPR o 5 2064. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 235 INSURERS AFFORDING COVERAGE <br />pl ymouth I MN 55447 <br />INSURED L. N . Sodding INSURER A: GENERAL CASAUlTY <br />6198 Hally Dr; ve INSURER B; <br />Lino tit-kes'. -"U. 5503tl .. INSlJREFfe: <br /> INSURER D: <br />. . . '.' <br />I 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 INDICA TED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERnFICA TE 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 SHOWIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Lm TYPE OF INSURANCE pOlJCY NUMB~ rD'Ai'fIMMlDDIVY) DAlE {MMIDDIYY) UMITS <br /> GENERAL UABIUTY CX 0249180 04/22/2003 04/22/2004 EACH OCCURRENCE $ 1,000,000 <br /> 'x COMMERCIAl:. GENERAl UABIl.ITY FIRE DAMAGE (Ally one fire) $ 50,000 <br /> I CLAIMS MADE [!] OCCUR MED EXP (Any one person) $ 5,000 <br />A PERSONAL & ADV INJURY $ <br /> f-- GENERAL AGGREGATE $ <br /> c-- 5,000,000 <br /> GEN'l AGGReGATE lIMIT APPLIES PER: PRODUCTS. COMPIOP AGG $ 3,000,000 <br /> 'J 'nrRO- n, <br /> POLleY JECT lOC <br /> AuTOp.(OBILE UABIlI"TY BA 0249180 04/22/2003 04/22/2004 COMBINED SINGLE LIMIT <br /> - (Eaaccldent) $ <br /> ANY AUTO 1,000,000 <br /> - ALL OVVNED AUTOS <br /> BODILY INJURY <br /> :L SCHEDULED AUTOS (Per person) $ <br />A . <br /> ~ HIRED AUTOS BODILY INJURY <br /> (Pereccldant) $ <br /> X NON.QV\INEO AUTOS <br /> - ,,,_'u <br /> .. PROPERTY DAMAGE <br /> - (Per accident) " _n $. <br /> GARAGE LIABIUTY, AlJTO ON.tY~ EA ACCIDENT $ <br /> =i ANY AUTO OTHER THAN EA ACC $ <br /> . AUTO ONLY: AGG $ <br /> EXCESS UABIUTY CU 0249180 04/22/2003 04/22/2004 EACH OCCURRENCE $ 2,000,000 <br /> t:!J OCCUR 0 ClAIMS MADE AGGREGATE $ 2,000,000 <br />A I $ <br /> R DEOUCTIBLE $ <br />. RETENTION $ $ <br /> WORKERS COMPENSATION AND ~WC 0249180 04/22/2003 04/22/2004 ITO~YLlMITS I IVB\'- <br /> EMPlOYERS" UAB1UTY E.L EACH ACCIDENT $ <br />A 100,000 <br /> E.L. DISEASE - EA EMPLOYE $ 100,000 <br /> E.L DISEASE - POLICY LIMIT $ 5001000 <br /> OTHER <br />DESCRIPTION OF OPERA.l10NSlLOCAnONSNEHlCLESlEXClUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />DDITIONAl INSURED: CITY OF CENTERVIllE <br />CERTIFlCA TE HOLDER I I ADDmONAL INSURED; lNSURER LETTER CANCELLATION <br /> SHOULO ANY OF: THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE ruE <br /> EXPIRATION DATE THEREOF, TtIE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> CITY OF CENTERVIllE ---1.n....- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, <br /> ATTN: PAUL BUTFAlLUfre TO 7'~:OCH':~~HAl}lrF'OSJN:~~ATION OR LIABILITY <br /> 1880 MAIN STREET OF ANY KIND UPON eJOJWA , ~ NTATlVES. <br /> AUTHORIZED REPRES . ,- -, <br /> CENTERVIllE, MN 55038 / <br /> (/ , .... <br /> . ,,- <br />