12-15-1999 Council Agenda - Laserfiche WebLink

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12/09/99 10:38 FAX 651 222 7824 F O R MN JOINT UNDERWRITERS 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 LIQUOR CATE O F I N S U R A N C L I A B I L I T Y C O V E This certificate is issued as a matter of information only rights upon the certificate holder The certificate does not alter the coverage afforded by the contract listed below. Policy Number: LL99 -7907 Contract Holder and Address: LITTLE CANADA RECREATION ASSOCIATION titio01 E RAGE and confers no amend, extend or Contract Period: 12:01 A.M. 01/22/00 TO 12:01 A.M. 01/24/00 515 E LITTLE CANADA RD LITTLE CANADA , MN 55117 Scheduled Premises:440 LITTLE CANADA RD,2415 EDGERTON ST ON ICE ONLY 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 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: CITY OF LITTLE CANADA 515 E LITTLE CANADA ROAD LITTLE CANADA MN Agents Name & Address: 0 55117 12/09/99 Date Issued Authorized Representative Page 166