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06-12-2002 Council Agenda
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06-12-2002 Council Agenda
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MINNESOTA LIQUOR LIABILITY ASSIGNED RISK PLAN <br />Minnesota Joint Underwriting Association <br />Pioneer P.O. Box 1760 <br />St. Paul, MN 55101 -0760 <br />(651) 222 -0484 OR 1- 800 - 552 -0013 <br />C E R T I F I C A T E O F I N S U R A N C E <br />F O R L I Q U O R L I A B I L I T Y C O V E R A G E <br />This certificate is issued as a matter of information only and confers no <br />sights upon the certificate holder. The certificate does not amend, extend or <br />alter the coverage afforded by the contract listed below. <br />,olicy Number: LL02 -9112 <br />:ontract Holder and Address: <br />Contract Period: <br />12:01 A.M. 08/16/02 TO <br />12:01 A.M. 08/19/02 <br />SPORTSMENS CLUB, INC.; LITTLE CANADA <br />'IENIOR GIRLS SOFTBALL CLB <br />943 PAYNE N <br />LITTLE CANADA , MN 55117 <br />Scheduled Premises:PIONEER PARK SOFTBALL FIELDS CONCESSION AREA <br />:his is to certify that the Contract of Coverage described herein has been <br />issued the Contract Holder named above and is in force at this time. <br />fotwithstanding any requirement, term or condition of any Contract or other <br />.ocument with respect to which this Certificate may be issued or may pertain <br />to the coverage afforded by the Contract described herein is subject to all <br />he terms, exclusions and conditions of such Contract. <br />TYPE OF COVERAGE <br />Bodily Injury <br />'roperty Damage <br />Loss of Means of Support <br />nnual Aggregate <br />LIMITS OF LIABILITY <br />$ 50,000 each person <br />$ 100,000 each occurrence <br />$ 10,000 each occurrence <br />$ 50,000 each person <br />$ 100,000 each occurrence <br />$ 300,000 annually <br />Should the above Contract be cancelled before the expiration date thereof, the <br />'lan will mail 60 days written notice to the below named Certificate Holder, <br />:.owever, in the event the cancellation is for non payment of premium, the plan <br />will mail a 30 day written notice. <br />ertificate Holder Name & Address: <br />fITY OF LITTLE CANADA <br />15 LITTLE CANADA ROAD <br />LITTLE CANADA MN <br />_,gents Name & Address: <br />55117 06/04/02 <br />Date Issued <br />C^ <br />o ^& r. a/ <br />Autho}ized Representative <br />
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