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PRODUCER DDPLICATZ <br />BLACKBURN. NICKELS & SMITH. INC. <br />PO BOX 367. MINNETONKA. NN 55343 <br />INSURED <br />VENETIAN INN, INC. <br />2814 N RICE ST <br />LITTLE CANADA, MN 55117 <br />THIS CERTIFICATE IS ISSUED AS A MATTwIT <br />CONFERS NO RIGHTS UPON THE CERTIFICATETE HOL <br />GOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED B'1 THE -�' <br />POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY A <br />WISP <br />COMPANY B <br />LETTER <br />COMPANY an <br />I ETTER <br />COMPANY D <br />Lino; <br />COMPANY E <br />LETTER <br />ACCEPTANCE INDEMNITY <br />IMStTA>►lirr mMPLPY <br />THIS IS 10 INI3 CATED`NOTWI I HSrANDING ANYIErQt1IREMENT, TERM OH CONDITION BEEN ISSUED TO <br />CON1 RACTT ORE OTHER DOCU MENT WITH RESPEC1 (0LWHICHPERIOD <br />CERTIFICATP MAY BE ISSUCD OR MAY PERTAIN, THI INSURANCE AFFORDED HY THE POLICIES DESCRIBED HEREIN IS SUDJI-C 11'0 ALL THE TERMS, <br />EXCI USIONS AND coNUI (IONS OF SUCtI P01 !CIES. - <br />• POLICY EFFECTIVE (POLICY EXPIRATION LIMITS <br />CO TYPE OF INSURANCE POLICY NUMBER GATE (MM /O0/YY) DATE IMMIDDM•) <br />GENERAL LIABILITY <br />COMPHbHENSIVC FORM <br />PRCMICEEIOP 1•MAT 10 MS <br />UNDEHGHNUN0 <br />EXPLOSION & COI I ARSE HAZARD <br />PRODUCTS/COMPLETED OPER. <br />CONTRACTUAL <br />INDEPENDENT CONTRACT OHS <br />HROAO TOfM PHUH•HTY DAMAGE <br />PEH60NAL INJURY <br />BULKY INJURY <br />BODILY INJURY AUG. <br />PROPERTY DAMAGE OCC. <br />Dcc. <br />$ <br />PROPERTY DAMAGE AGG. <br />RI S PD C.OMGINED OCC. <br />011 PO COMBINED AGG. <br />f <br />S <br />E <br />PERSONAL INJURY AGO <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS( Pliv. P.N. 1 <br />ALL OWNED AUTOS ( OIPar TA,n ) <br />PIW. PAN. <br />HIRED AUIOR <br />NON OWNED AU I OS <br />GARAL'+t. l (ABILITY <br />EXCESS LIABILITY <br />4UMBRtI I A FOPM <br />OTHER THAN tlMNHELLA FOR <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />A <br />BODILY INJURY <br />(Par parson( <br />BODILY INJURY <br />(Pm acridonl) <br />E <br />PROPERTY OAMAGF <br />E <br />f <br />13013111( INJURY & <br />PROPERTY DAMAGE <br />COMBINED <br />EACH OCCURRENCE • <br />AOOREGAIE <br />OTHER <br />LIQUOR LIABILITY <br />IL 382008 <br />9/01/90 <br />9/01/91 <br />'STATUTORY LIMITS <br />EACH ACCIDENT <br />1 <br />DISEASE— POLICY LIMIT <br />$ <br />DISEASE —EACH EMPLOYEE $ _ <br />MINIMUMREQt1IREMERT$ or <br />THE LIMO* ACT_ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />RESTAURANT - RENEWAL or 1I. 380024 <br />rFRTJ <br />.19: <br />CITY OF LITTLE CANADA <br />515 EAST LITTLE CANADA ROAD <br />LITTLE CANADA, MN 55117 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLCO BEFORE THE <br />EXPIRATION DAZE THEREOF, THE ISSUING COMPANY WILL crnBMv'# imse <br />MAIL _ 311 DAYS WRIT TEN NOTICE TO THE CERTIFICAI t HOLDER NAMED TO THE <br />n, . - - <br />• <br />AUTHORIZED REPRESENTATIVE <br />age <br />R • RATION 1990 <br />