My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CCAgenda_05Sep28
FalconHeights
>
City Council
>
City Council Agenda Packets
>
200x
>
2005
>
CCAgenda_05Sep28
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/16/2009 10:20:23 AM
Creation date
7/6/2009 2:46:01 PM
Metadata
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
52
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
sr.rE ~..M CERTIFICATE OF INSURANCE <br />'s t. ~ STATE FARfvI-FIRE AND CASUALTY COMPANY, Bloomington, Illinois <br />• ^ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois <br />+t~H7+9Ytti!I Nang policyholder for the coverages indicated below, <br />of policyholder WILLIANJ F RID7rER PLUMBIATG AND HEATING INC <br />Address of policyholder 2 90 8 HARRI E'z' AVE <br />MPLS . 1viN 55408 <br />Location of operations <br />Description of operations <br />The policies listed below have been issued t0 the policyholtfer for the_golicy.-periods shown: The insurance described in these policies Is <br />subject to all the terms exclusions, and conditions of those oticies. The Limits of liability shown ma„ r,~„e ~..,... __~-___, ~ _ _ . . <br />POLICY NUMi~ ~. TYPE OF INSURANCE <br />93 - FfR - }6 3 9-- 5 ~ Bosrness trability ~ 3 {"3 "T /.0 5 ~ 4 ~ <br />This insurance Includes: ®Products -Completed pperations <br />Contractual liability <br />® Underground Hazard Coverage <br />®Personallnlury- <br />® Advertising Injury <br />^ Explosion Hazard Coverage- <br />^ Collapse Hazard Coverage <br />^-C®neralAggregate..Limit.appli9s to each proJeet <br />EXCESS LIABILITY <br />^ Umbrella <br />S3 - J9"- ~5 5"0 - 0 F Workers`-Compensation 3 / 3 ~ / p 5 <br />and Employers Liability <br />POLICY NUMBER ~ TYPE OF INSURANCE <br />Date <br />Data <br />Qat® <br />4/41/06 <br />BODILY INJURY AND <br />PROPERTY OAMAGE <br />Each Occurrence $ 1, 0 0 0, 0 0 0 <br />General Aggregate $ 2, O O O, D 0 0 <br />Products =Completed <br />Operations Aggregate $ 2, 0 0 0, 0 0 0 <br />BODILY INJURV ANd PRpt3ERTY DAMAGE <br />(Combined Single Limit) <br />Each Occurrence $ <br />Part 1 STATUTORY <br />Part 2 BODILY INJURY <br />Each Accident $ 10 0 , 0 0 0 <br />Disease Each Employee $ 5 0 0, D 0 0 <br />OFI <br />g of <br />If any of the described policies are canceled before its <br />expiration date, Slate Farm will fry to mail a written notice to <br />the certiffcate holder 3 D days before cancellation. If, <br />however, we-fait to.mailsuch.notice,.no obligation ocliabitiry <br />will be imposed on State Farm or it6 agents or <br />repre$entatives. <br />Name and Address of Certificate Holder <br />City of Falcotl hi-eghts <br />2077. west laxpex,,tuer <br />Flacon Hieghts, M.tV, 55113 <br />6so-Bea a z.eo arlnteo m u.S,A, <br />• <br />W. GUHNARE 3462 <br />Signature o I e <br />~~Q4..•~-f" <br />ime~ <br />8--~1-4~ <br />Dale. <br />
The URL can be used to link to this page
Your browser does not support the video tag.