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., <br />A COR <br />o AT e (memory n ::: <br />05/ 1I / 9 8 ? <br />:: <br />... .:.. . .. ..:.. :. <br />PRODUCER <br />TABS BROCKENBROUGH & <br />RAGLAND, LLC <br />P 0 BOX 8767 <br />RICHMOND VA 23226 <br />ONLY CERTIFICATE IS ISSUED RIGHTS A MATTER THE INFORMATION CERTIFICATE <br />HOLD AND 8 CONFERS AT RIOHSS OTON END C EXTEND OR <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED 0Y THE POLICIES BELOW <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A TIG INSURANCE COMPANY <br />INSURED <br />AMF BOWLING, INC. <br />AMF BOWLING CENTERS, INC. <br />8100 AMF DRIVE <br />MECHANICSVILLE, VA 23111 <br />L.................................. <br />COMPANY <br />B AMERICAN MFRS MUTUAL INS CO <br />COMPANY <br />0 AMERICAN PROTECTION INS CO <br />COMPANY <br />D <br />.........::::::::::::::. :::: :::::. .. :::;o:;:::::o; :: ::w::::::o:!c:n:::o:::»:iY,:: <br />: COb! ERAQES::;:::>::>::<>:::: :::..: i::.:.;:;>;;::::::: �::::: :::;::�;:5:::';:;.'::::::::'?:; %::;:;:'; y: ?':>:;: i; G;E j:$;: i:: � ::::::::::::::::::: i::::: sisr,:::;: R:;;':':; ';'::::i:::':::::::::s::::::;:: <br />.::::T :I IS To RT IFY THAT THE POLICIES C ES F IN UR NCE <br />THIS A ED CERTIFY THAT THE PANY RE INSURANCE TERM M OR BELOW HAVE BEEN O TEA T THE INSURED NAMED N ABOVE FOR THE POLICY WHICH H THIS <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />CERTIFICATE TATCA, MAY BE ISSUED ANY REQUIREMENT. PER IN, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT SUBJECT RESPECT TO REICH RMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMES SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />USIOS MAY O ISSUED OR MAY PERTAIN, S. L INSURANCE LIMITS HOW AFAY HAV BY THE POLICIES DD BY AID CLAIMS. <br />CO <br />LTA <br />TYPE OP INSURANCE <br />POLICY NUMBER <br />PODGY EFFECTIVE POLICY <br />DATE (MMNWYY) <br />EXPIRATION <br />DATE (WAMMYY) <br />LIMITS <br />.B. <br />GENERALUABIJTY <br />T70003796625600 <br />05/01/98 <br />05/01/99 <br />GENERAL AGGREGATE <br />$1,000,000 <br />X <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 1 X OCCUR <br />OWNER'S & CONDUCTOR'S PROT <br />LIQUOR LIAB <br />PRODUCTS • COMP/OP A0G <br />3 1, 0 0 0, 0 0 0 <br />PERSONAL & ADV INJURY <br />91,000 , 000 <br />S1/000,000 <br />EACH OCCURRENCE <br />FWE DAMAGE (Any aeare) <br />$ 800,000 <br />MED EXP (Any ae person) <br />5 <br />B <br />AUTOMOBILELUBILITY <br />X <br />X <br />X <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON.OWNED AUTOS <br />F3F046195 -01 <br />5/01/98 <br />5/01/99 <br />COMBINED SINGLE LIMIT <br />1,000,000 <br />5 <br />BODILY INJURY <br />(Pet person) <br />BODILY INJURY <br />(Pet accident) <br />S <br />PROPERTY DAMAGE <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY • EA ACCIDENT <br />5 <br />OTHER THAN AUTO ONLY <br />EACH ACCIDENT <br />$ <br />AGGREGATE <br />5 <br />A <br />welkin <br />KLB000379662640 <br />5/01/98 <br />5/01/99 <br />EACHOCGURRENCE <br />$26000,000 <br />$26000,000 <br />I excess <br />X <br />UMSRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />AGGREGATE <br />5 <br />.2 <br />WORKERSCOMPBNSATIOH AND <br />EMPLOYERS' LIABILITY <br />3BR001086 -01 <br />5/01/98 <br />5/01/99 <br />X TQRVLIMA <br />EL EACH ACCIDENT <br />51,000,000 <br />51 , 000,000 <br />THE PROPRIETOPI <br />PFFIC ER&E%ECUTIVE <br />OFFICERS ARE <br />}( <br />MCL <br />IXCL <br />EL DISEASEPOUOY UMT <br />EL DWFASEEA EMPLOYEE <br />51 , 000 , 0 00 <br />OTHER <br />DESCRIPTION OP OPERATIONSA.00ATIONSNEHICLES /SPECIAL ITEMS <br />COMMERCIAL GENERAL LIABILITY APPLIES OVER SELF INSURED RETENTION <br />LOCATION: SAXON BOWLING LANES, 61 W LITTLE CANADA ROAD, LITTLE CANADA, MN <br />ii .... <br />7E::HQ4: DER::;: i:::;:::;:: i': 3:;: isi:::: i:::;;;:>;:;:;:: 5::>::%:::: i::::::::;::;::: 5 :........................:::.:::::::. <br />CITY OF LITTLE CANADA <br />515 LITTLE CANADA ROAD <br />LITTLE CANADA, MN 55117 -1600 <br />■ <br />r1QQR1k>�MSG. �i16S'F ...... .::.:.::. <br />AH...... �;:::::::.....:.:::................. ...............:.....:..:...... <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE Tee <br />E�nXPMATIOM DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />3 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />.S.... <br />SUT MI �J CH NOTICE SHALL WISE NO OBLIGATION OR LIABILITY <br />GF`A Tow COMPANY. ITS/lA OR _BEARE ATNES. <br />ABUT . . =0 AINE <br />;...: ..:..... .:.:,,... ,.F�Wii4'p0ii0#<:a98$: <br />Page 49 <br />