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07-26-2000 Council Agenda
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07-26-2000 Council Agenda
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ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMM /OD/YY1 <br />7-1 2-0C <br />PRODUCER 440- 248 -4711 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 />COMPANIES AFFORDING COVERAGE <br />Britton- Gallagher & Assoc. <br />6240 SOM Centdr Rd. <br />Cleveland, OH 44139 -2985 <br />COMPANY <br />A <br />Lexington Insurance Company <br />INSURED <br />Melrose North <br />Pyrotechnics, Inc. <br />13255 Bradley Blvd. <br />Becker, MN 55308 <br />COMPANY <br />B <br />, COMPANY <br />C <br />COMPANY <br />D <br />:.OVEAAGES .. .... <br />THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO ! TYPE OF INSURANCE POLICY NUMBER <br />LTR <br />POLICY EFFECTNE POLICY EXPIRATION <br />DATE IMM/DDNYI DATE IMMIDD/YYI <br />LIMITS <br />A ! GENERAL LABILITY <br />LIABILITY <br />4013993 <br />4/01 /00 <br />4/01 /01 <br />, <br />GENERAL AGGREGATE 1 s 2000000 <br />I X 1 COMMERCIAL GENERAL <br />PRODUCTS - COMP /OP AGG 5 2000000 <br />: I CLAIMS MADE I X 1 OCCUR <br />PERSONAL & ADV INJURY 15 1000000 <br />I OWNER'S & CONTRACTORS <br />PROT <br />EACH OCCURRENCE I $ 1000000 <br />FIRE DAMAGE (Any one lire) 1 50000 <br />MED EXP Any one oersonl I s <br />1 AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT I $ <br />ANY AUTO <br />I ALL OWNED AUTOS <br />BODILY INJURY <br />(Per person) <br />' 1 SCHEDULED AUTOS <br />I I HIRED AUTOS <br />BODILY INJURY <br />(Per acci:erl <br />11 I NON -OWNED AUTOS <br />rl <br />PROPERTY DAMAGE <br />s <br />I GARAGE LIABILITY <br />1 AUTO ONLY . EA ACCIDENT 15 <br />ANY AUTO <br />OTHER THAN AUTO ONLY: <br />. <br />EACH ACCIDENT 15 <br />i I <br />AGGREGATE s <br />A i EXCESS LIABIUTY <br />FORM <br />5640987 I 4/01/00 <br />4/01/01 <br />EACH OCCURRENCE 5 4000000 <br />X UMBRELLA FORM <br />I I OTHER THAN UMBRELLA <br />AGGREGATE $ 4000000 <br />1 WORKERS COMPENSATION <br />1 EMPLOYERS' LIABILITY <br />I THE PROPRIETOR/ <br />i PARTNERS /EXECUTIVE <br />OFFICERS ARE: <br />AND <br />I <br />WC STATU- 0TH - <br />TORY LIMITS I FR <br />EL EACH ACCIDENT I <br />I INCL <br />EL DISEASE - POLICY LIMIT I $ <br />I EXCL <br />EL DISEASE - EA EMPLOYEE s <br />1 OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS <br />DISPLAY DATE: August 5, 2000 LOCATION: Little Canada, MN <br />ADDITIONAL INSURED: City of LittleCanada, MN <br />CERTIFICATE HOLDER, .. ;?. ! <br />cif Little ry- <br />City Attn:t <eth, Gla Z <br />515 Lit`1F+ Cry's R3U.cL <br />Little C3r�$, MN 55117 -1222 <br />„nom 1 <br />CANCELLATION <br />SHOULD ANY <br />EXPIRATION <br />30 DAYS <br />: <br />OF THE ABOVE <br />DATE THEREOF, THE <br />WRITTEN NOTICE TO <br />TO MAIL SUCH NOTICE <br />KING UPON THE <br />..... <br />DESCRIBED POUCIES BE CANCELLED <br />ISSUING COMPANY WILL <br />THE CERTIFICATE HOLDER/NA <br />':::;;;i:;:::;:::::::::::::.:::......::::::-. . <br />BEFORE THE <br />ENDEAVOR TO MAIL <br />/NAMED TO THE LEFT. <br />GMION OR LIABILITY <br />ES. <br />B (LURE <br />/RA I N°� 0 <br />¢ <br />CO PANY ITS AGENT D <br />OF ANY <br />�� <br />/RI�/R�EFRES \ENTATIV <br />AUTHORIZED REPRESENTATIVE `.�5' / \ <br />C.'s.--.1"r'../A <br />ACO RD 25- S:(1/95) <br />PAGE 38C <br />ACORD: CORPORATION' 19881 <br />
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