06-14-2006 Council Agenda - Laserfiche WebLink

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MINNESOTA LIQUOR LIABILITY ASSIGNED RISK PLAN MINNESOTA JOINT UNDERWRITING ASSOCIATION PIONEER PO BOX 1760 SAINT PAUL, MN 55101-0760 (651) 222-0484 OR 1- 800 -552 -0013 CERTIFICATE OF INSURANCE FOR LIQUOR LIABILITY COVERAGE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THE CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TIIE CONTRACT LISTED BELOW. POLICY NUMBER: 06 -0280 CONTRACT PERIOD: 12:01 A.M. 8/4/2006 TO 12:01 A.M. 8/6/2006 CONTRACT HOLDER & ADDRESS LITTLE CANADA CANADIAN DAYS, INC CANADIAN DAYS 515 E. LITTLE CANADA ROAD LITTLE CANADA, MN 55117 SCHEDULED PREMISES: SPOONER PARK, 350 ELI ROAD, LITTLE CANADA, MN 55117 THIS IS TO CERTIFY THAT THE CONTRACT OF COVERAGE DESCRIBED HEREIN HAS BEEN ISSUED TO THE CONTRACT HOLDER NAMED ABOVE AND IS IN FORCE AT THIS TIME. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN TO THE COVERAGE AFFORDED BY THE CONTRACT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDPPIONS OF SUCH CONTRACT. TYPE OF COVERAGE LIMITS OF LIABILITY BODILY INJURY $ 50,000 100,000 PROPERTY DAMAGE $ 10,000 LOSS OF MEANS OF SUPPORT $ 50,000 100,000 ANNUAL AGGREGATE $ 300,000 EACH PERSON EACH OCCURRENCE EACH OCCURRENCE EACH PERSON EACH OCCURRENCE ANNUALLY SHOULD THE ABOVE CONTRACT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE PLAN WILL MAIL 60 DAYS WRITTEN NOTICE TO THE BELOW NAMED CERTIFICATE HOLDER, HOWEVER, IN THE EVENT THE CANCELLATION IS FOR NON PAYMENT OF PREMIUM, THE PLAN WILL MAIL A 10 DAY WRITTEN NOTICE. CERTIFICATE HOLDER NAME & ADDRESS DATE OF ISSUE: 5/30/06 CITY OF LITTLE CANADA 515 LITTLE CANADA ROAD EAST LITTLE CANADA, MN 55113 AGENCY NAME & ADDRESS AUTHORIZED REPRESENTATIVE RECEIVED JUN 1) :1. 2006 3 TV OF UTTUE: <;ANAUP