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ACORD~ CERTIFICATE OF LIABILITY INSURANCE o8/`ioiz o' <br />PRODUCER (763)323-3000 FAX (763)323-8353 <br />nsurance Brokers of MN , Inc . <br />0 East Main Street , Ste . 100 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 />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />noka, MN 55303 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Pierce Refrigeration INSURER A: ACU I ty <br />1920 2nd Ave S INSURER B: <br />Anoka , MN 55303 INSURER C: <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <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 MAY BE 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 />INSR DD' rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY L1 5025 10/31 /2004 10/31 /2005 EACH OCCURRENCE $ 500 , QO <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 r 00 <br /> CLAIMS MADE a OCCUR MED EXP (Any one pennon) $ 5 QQ <br />A PERSONAL 8 ADV INJURY $ ~jQQ QQ <br /> GENERAL AGGREGATE $ 1 QQQ QQ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG S 1 ,QQQ , OO <br /> POLICY jE~o- LOC <br /> AUT OMOBILE LIABILITY L15025 10/31 /2004 10/31 /2005 COMBINED SINGLE LIMIT <br /> E <br />id $ <br /> ANY AUTO a acc <br />ent) <br />( 500 <br />00 <br /> ALL OWNED AUTOS BODILY INJURY , <br /> $ <br />A SCHEDULED AUTOS (Per person) <br /> <br /> HIRED AUTOS <br />BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accWent) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC <br />OTHER THAN S <br /> AUTO ONLY: qGG $ <br /> EXCESS/UMBRELLA LIABILITY L15025 10/31 /2004 10/31 /2005 EACH OCCURRENCE $ 2 , QQQ ~ QQ <br /> OCCUR ^ CLAIMS MADE AGGREGATE $ 2 ~ QQQ ~ QQ <br />A <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND L15025 10/31 /2004 10/31 /2005 t'VC STATU• OTH- <br /> EMPLOYERS'LIABILITY <br /> <br />/~ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT - <br />$ 5QQ , QQ <br /> OFFICER/MEMBER EXCLUDED? <br />M <br />es <br />describe under - E.L. DISEASE - EA EMPLOYE $ 500 , OQ <br /> y <br />, <br />SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $jQQ , QQ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />City of Falcon Heights <br />2077 Carpenter Ave. <br />Falcon Heights, MN 55113 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />_3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE w/ •i, _ /J ~ o~.~,.~I e <br />Kr i st i na Bradford/TINA 'Y"""^^-''C b'^ v+~C <br />AGORD 25 (2001/08) rHn: (b5l )U44-tsb/5 ©ACORD CORPORATION 1988 <br />