10-13-1999 Council Agenda - Laserfiche WebLink

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MINNESOTA LIQUOR LIABILITY ASSIGNED RISK PLAN Minnesota Joint Underwriting Association Pioneer P.O. Box 1760 St. Paul, MN 55101 -0760 (612) 222 -0484 OR 1- 800 -552 -0013 C E R T I F I C A T E O F I N S U R A N C E 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 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 the contract listed below. Policy Number: LL99 -7878 Contract Holder and Address: LITTLE CANADA RECREATION ASSOCIATION Contract Period: 12:01 A.M. 10/30/99 TO 12:01 A.M. 10/31/99 515 E LITTLE CANADA ROAD LITTLE CANADA , MN 55117 Scheduled Premises:ST. JOHNS GYM, MCMENEMY ROAD, LITTLE CANADA This is to certify that the Contract of Coverage described herein has been issued 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 conditions of such Contract. TYPE OF COVERAGE Bodily Injury Property Damage Loss of Means of Support Annual Aggregate LIMITS OF LIABILITY $ 50,000 each person $ 100,000 each occurrence $ 10,000 each occurrence $ 50,000 each person $ 100,000 each occurrence $ 300,000 annually Should the above Contract be cancelled b Plan will mail 60 days written notice to however, in the event the cancellation i will mail a 10 day written notice. Certificate Holder Name & Address: CITY OF OF LITTLE CANADA 515 E LITTLE CANADA ROAD LITTLE CANADA MN Agents Name & Address: 0 efore the expiration date thereof, the the below named Certificate Holder, s for non payment of premium, the plan 55117 10/05/99 Date Issued C ze Aut o ized Representative Page 45