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09/10/97 WED 12:08 FAX 218 722 2813
<br />DUANE WOLFF AGENCY
<br />0001
<br />..... ...
<br />ACORD
<br />........ 4�P'^T!nN,lµ '� 'm Piv»6>1'��.,,4'... ,n J�.W'V'•np^ . W„ rmw.,ww ±M,F., ••
<br />' m i «. W,S,;s A+.w. e k ! } n A7 P,gh3 ww/wuwuq y _. PATE IMWOONq
<br />WruaY a 4:w 6 "a »u>;wT aat ` NR n ...,..60 k ww ww 9-10 -97
<br />PRODUCER TM
<br />Wolff Agency Inc.
<br />2828 Piedmont Ave
<br />Duluth, MN 55811
<br />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 />COMPANIESAFFORDING
<br />_COVERAGE `. —_
<br />COMAPANYOUnt Vernon Fire insurance Co.
<br />INSURED
<br />COMPANY ,.
<br />B
<br />Blues BBQ and Pizza Cafe Inc.
<br />2900 Rice St. Suite 240
<br />C CA
<br />Little Canada, MN 55113
<br />—
<br />COMPANY
<br />D
<br />....
<br />ME/ Ai %=El l; h.7rir, ..:w.ow , -• w±WS.iI;'M lMtth mmm;, �I PM1Whfl�9MAMrRm, m„ i a•wnwt *H rxt,gp�ry.. �.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 CONDITION$ OF SUCH POLICIES. LIMITS %. WN MAY HAVE BEEN REDUCE!) BY PAID CLAIMS.
<br />CO
<br />LTR
<br />TYPE OP INSURANCE
<br />POLICY NUMBED
<br />I
<br />POLICY EFFECTIVE I
<br />DATE(MIVINNYT)
<br />POLICY EXPIRATION
<br />DATE(MM/DWYY)
<br />LIMNS
<br />GEKERAL UAEILITY
<br />COMMERCIAL GENERAL LIABILITY
<br />GENERAL AGGREGATE
<br />6
<br />PRODUCTS• COMP/OP AGG
<br />$ ,,, --
<br />H�A+ CLAIMS MACE
<br />OCCUR
<br />PERSONAL & ADV INJURY
<br />S
<br />....
<br />OWNER'S A CONTRACTOR'S PROT
<br />EACH OCCURRENCE
<br />FIRE DAMAGE (Any one ere)
<br />_-
<br />6
<br />MW SNP (Any ono outman}
<br />COMBINED SINGLE LIMIT
<br />6
<br />S
<br />AUTOMOBILE
<br />_
<br />_,
<br />LIABILITY
<br />ANY AUTO .
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />I INIC0 AUTOC
<br />O
<br />NONWNED AUTOS
<br />....
<br />BODILY INJURY
<br />Ter pew)
<br />$
<br />BODILY IIUUIW
<br />'° dNrb d
<br />$
<br />PROPERTY DAMAGE
<br />$
<br />—
<br />GARAGE LIAEILTTY
<br />;ANY AUTO
<br />■
<br />AUTO ONLY- EA ACCIDENT
<br />S
<br />ww «Nceem!unmrmf ..
<br />OTKERTFIPN AUTO ONLY! ^,rn ,« .,an<meowo,«,v.Na
<br />EACH ACCIDENT $ _
<br />AGGREGATE
<br />S
<br />EXCESS LIABILITY
<br />UMBRELLA FORM
<br />OTHER THAN UMBRELLA FORM
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />WORK6R8 COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />TcffiA: IeaH
<br />I 76I ER
<br />n «mwnntl.! $40
<br />avOM
<br />w.0.40)A
<br />5
<br />,
<br />S. EACH ACCIDENT
<br />THE PROPRIETOR/
<br />PA/RECITE/EXECUTIVE
<br />OFRCERS ARE:
<br />i
<br />INCL
<br />EXCL
<br />EL DISEASE • POLICY LIMIT
<br />$
<br />a DISEASE • EA EMROYEE . $
<br />A
<br />OTHER
<br />Liquor Liability
<br />Pending
<br />9/12/97
<br />9/12/98
<br />50/100/10/100/300
<br />DESCRIPTION OF OPERATIONS /LOCATONSNEH)CLR$SPECIAL KEYS
<br />�,.
<br />( ., . . .. +xA!%1L'... 9ao ,....
<br />47 G ": .. ..., ,.. __,.. ', ..... ..
<br />City of Little Canada
<br />Little Canada, MN 55113
<br />attn: Cathy
<br />AY�.. _. . ,...
<br />mLw , of, AP1N(NroHNIMNNNarN
<br />SHOULD ANY OF THE ABOVE DESCRIBED pouaes 0E CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, TIKE ISSUING COMPANY WILL ENDEAVOR TO MAIL
<br />30 DAYS WRITTEN NOTCG TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
<br />BIT FAILURE TO MAIL SUCH WHIM SHALL IMPOSE NO OBLIGATION OR UABILITY
<br />OP ANY KIND UPON UPON THE COMPANY, ire AGENTS OR REPRESENTATIVES,
<br />.... .. urwa•nu , �: i...
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