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B. <br />McNAMARA COMPANY 1330 HIGHWAY 96 ST. PAUL, MINNESOTA 55110 (612) 4260607 <br />Commercial Insurance Brokers <br />PUBLIC OFFICIALS LIABILITY <br />PREMIUM INDICATIONS <br />NAME OF PUBLIC ENTITY: CITY OF LITTLE CANADA, MINNESOTA <br />BASED ON PROPOSAL FORM DATED: FEBRUARY 12, 1981 <br />The Wtow -Lng - .ndicatLon1s ane bon a THREE YEAR pot i.cy. Covehage L with <br />the Fanum Insunanee Company, an admitted can/Lien, as pen the attached <br />specimen potty {o/un6. <br />DEDUCTIBLE EACH LOSS: $ 1,000.00 <br />LIMIT OF LIABILITY ANNUAL INSTALLMENT THREE YEAR PREPAID <br />(each toss and in the PREMIUM PREMIUM <br />aggregate annua€ky): <br />$1,000,000 $ 3,066.00 $ 8,278.00 <br />$2,000,000 $ 4,292.00 $ 11, 589.00 <br />$3,000,000 $ 4,906.00 $ 13,245.00 <br />$5,000,000 $ 5,672.00 $ 15, 315.00 <br />POLICY ENDORSEMENTS OR OTHER SPECIAL CONDITIONS: <br />1) GENERAL AMENDATORY ENDORSEMENT <br />ADDITIONAL REQUIREMENTS: <br />The tennis aU -thee ,indications axe vatid {ion 45 days subject to nece,ip-t and <br />nevLew any ,inOtuna ion neques.ted above. The Pnapoba.0 Fonm must be b.igned <br />and dated within 45 days o{ the eU {eetive date ob eovehage (60 days on nenewat6). <br />V-L eeosune o{6 any ehange6 in undenwniti.ng - .nUonmation As nequ±&ed pnLon to <br />binding. <br />15 <br />