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ACORQ, CERTIFICATE OF LIABILITY <br />INSURANCE <br />06/16 /zoos) <br />TYPE OF INSURANCE <br />:ODUCER (651)644 -0311 FAX (651)641 -8981 <br />Paul et /Slater, Inc . <br />'610 University 200 <br />Y Ave. . , <br />;t. Paul, MN 55114 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />"'SURED Moon Bay Liquor <br />Sarom B. Chey <br />1021 Bandana Blvd E <br />St Paul, MN 55108 -0000 <br />INSURER A. Safeco Insurance <br />GENERAL <br />INSURER 8: <br />INSURERC: <br />INSURER D'. <br />$ <br />INSURER E. <br />$ <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 />I TRR <br />ADDS_ <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY IMM /DDWY) <br />POLICY DATE IMM//DDIYYIIN <br />LIMITS <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />PREMISES (Fe ocrurenrel <br />$ <br />CLAIMS MADE <br />OCCUR <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE <br />7 POLICY <br />— <br />LIMIT APPLIES <br />PRO <br />JECT <br />PER: <br />LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE <br />LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />AUTO ONLY: AGG <br />$ <br />EXCESS <br />/UMBRELLA <br />OCCUR <br />DEDUCTIBLE <br />RETENTION <br />LIABILITY <br />$ <br />CLAIMS MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR /PARTNER/EXE..CUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />WC STATU- <br />TORY IMITS <br />OTH- <br />FR <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />Liquor Liability <br />02BP34744401 <br />08/24/2005 <br />06/30/2006 <br />CSL - $1,000,000 • <br />Total Limit - $2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />F ovides Evidence of Insurance as respects location at 2900 Rice Street, Little Canada, MN 55117 <br />AUG 2 €9 2005 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />CITY OF LITTLE CANADA <br />CITY CLERK <br />attn; Kathy <br />515 Little Canada Road <br />Little Canada, MN 55117 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />10 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 <br />Jeffrey Stanley /AML <br />C fh <br />;ORD 25 (2001/08) <br />©ACORD CORPORATION 1988 <br />