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1S-09 -1994 08P47Ht1 FROM <br />TO 14378:22E1 P.:31 <br />AI 1DP'9). CERTIFICATE OF INSURANCE <br />ISSUE DATE (MM /DD(VY) <br />12/07/94 <br />PnuouCER <br />SECURITY MARKETING AGENCY <br />2700 STREET FORTH, SUITE T, #10 <br />CLOUD MN, 56303 <br />INSURED <br />SAXON LANES INC. <br />61 WME�S�TnL��IfllLE CANDDIAN ROAR <br />LITTLE CANADA, MN 55117 ' <br />THIJ CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />. <br />S RP) W. <br />COMPANIES <br />COMPANY <br />»••. ».•••._•. •. . <br />ER�A`G'�E.,. <br />FIDELITY OI• GUARANTY <br />LETTER A STATES }FyO�RDDINrG�C(OVV <br />UNITED STATES <br />. COMPANY B <br />LETTER <br />t <br />COMPANY C <br />LETTER <br />...__... -_.... • . _ _.. _.. ..._..__._..__._.__....__._ <br />LETTER COMPANY D <br />COMPANY <br />LETTER E <br />. .Y <br />COVERAGES 'ti% ,. '.n *4 * n..; ., :?t¢,, ;Sr. -%‘',,, <br />. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 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 />C CII NI' MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF IN9VRARCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LTR DATE (MAVDONT) ( DATE IMM /OD /YY) I LIMITS <br />GENERAL LIABILITY GENERAL AGGREGATE I <br />COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP /OP AGO. <br />CLAIMS MADE OCCUR, _PERSONAL & ADV. INJURY . <br />OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE 13 <br />FIRE DAMAGE (Any one (Ire) i <br />MED. EXPENSE (Any one 0era0n1 <br />$ <br />$ <br />$ <br />$._ <br />3 <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON OWNED AUTOS <br />GARAGE LIABILITY <br />COMBINED SINGLE ' <br />UMIT <br />$ <br />BODILY INJURY <br />1 (Par person) <br />rBODILY INJURY <br />(Per accident) <br />PROPERTY DAMAGE <br />1 <br />$ <br />3 <br />EXCESS LIADWTY <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />, ' ' ' a °'. <br />$ <br />r ,. ' . . . . . . . . ., l . 1 } "`. i . .l <br />WORKER'S COMPENSATION <br />AND... <br />EMPLOYERS' LIABILITY <br />1 STATUTORY LIMITS <br />+'.. <br />' <br />EACH ACCIDENT <br />..__. .........._.....___ <br />$ <br />2 <br />DISEASE — POLICY LIMIT J <br />DISEASE —EACH EMPLOYEE <br />OTHER <br />A LIQUOR LIABILITY APPLIED FOR . 01/01/95 01/01/96 SEE BELOW * <br />I <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS <br />b $500,000 AGGREGATE LIMIT <br />$500,000 EACPI COMMON CAUSE LIMIT <br />CERTIFICATE HOLDER <br />CITY OF LITTLE CANADA <br />515 -EAST LITTLE CANADA RD. <br />LITLE CANADA MN 55117 <br />ACORO 25•S (7/90) <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 10 DAYS . ! NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />AIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUT IORIIED REP RES9-NTA TIVE <br />Page 73 _ <br />� D ...! CORPORATIdN.jO4d <br />