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A COI.pe CERTIFICATE QF INSURANCE <br />;; DATE (MM DDYY) <br />12/06/95 :. <br />pRoDUCEN <br />AMERICAN AGENCY INC. <br />P 0 BOX 16527 <br />5851 CEDAR LAKE RD <br />ST LOUIS PK MN 554160527 <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 POLICES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A LEAGUE OF MN CITIES <br />waSURED <br />LITTLE CANADA <br />CITY OF <br />515 LITTLE CANADA RD a <br />CO ANY <br />M Y <br />C <br />5 -; <br />LITTLE CANADA MN 5117 <br />COMPANY <br />D <br />.A .. ...................._...:_::................._ .:..........:..._,...,:,:.... ,..... <br />THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTEEL13 OW HAVE <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />EXCLUSIONS AND CONDHIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE <br />..........._..._...>....:..,............_..:...:..:..::.....,,.,, ::,..:,..::..,.:..:;::.:,:.:::: <br />BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD <br />OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MWDDRYY) <br />POLICY EXPIRATION <br />DATE (MW/DDRYY) <br />LIMOS <br />A <br />GENERALUAeam <br />CMC13180 <br />01/01/96 <br />01/01/97 <br />GENERAL AGGREGATE <br />$ 600,000 <br />X <br />COMMERCIAL GENERA. LIABILITY <br />PRODUCTS • COMP/OP AGG <br />S 600,000 <br />X <br />CLAIMS MADE <br />OCCUR <br />PERSONAL & ADV INJURY <br />$ <br />OWNERS & CONTRACTOR'S PROT <br />EACH OCCURRENCE <br />S 600,000 <br />FIRE DAMAGE (Any one Ere) <br />S 50,000 <br />MED EXP (Any one person) <br />S <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON.OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />S <br />BODILY INJURY <br />(Per person) <br />S <br />BODILY INJURY <br />(PM scoident <br />S <br />PROPERTY DAMAGE <br />S <br />GARAGE 1 'Ann ITY <br />AUTO ONLY • EA ACCIDENT <br />S <br />ANY AUTO <br />OTHER THAN AUTO ONLY: <br />........ ............................... <br />EACH ACCIDENT <br />S <br />AGGREGATE <br />S <br />EXCESS Lanny <br />EACH OCCURRENCE <br />S <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />AGGREGATE <br />S <br />S <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />STATUTORY LIMITS <br />EACH ACCIDENT <br />S <br />THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />— <br />I NON. <br />EXCL. <br />DISEASE • POLICY LIMIT <br />S <br />DISEASE - EACH EMPLOYEE <br />S <br />OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL HEMS <br />CERTIFICATE HOLDER IS ADDITIONAL INSURED ON GENERAL LIABILITY FOR A <br />SOFTBALL ON ICE TOURNAMENT ON JANUARY 19, 20, & 21ST, 1996 — RAMSEY COUNTY <br />PARKS & RECREATION <br />CERTiI1O TE. 1007ER..< > .: >::.�,. :,,.;:,. :...,.� < . >,.,a.. <br />. ... <br />RAMSEY COUNTY PARK &RECREATION <br />2015 N. VANDYKE STREET <br />MAPLEWOOD, MN 55109 <br />srnpo afri:s::rsrgsT . _, .:. <,. .. 47.l�sn <w..�� <br />FANCELLATIOH .,.,:.,.. ..:.:....:... .... . . <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />ENDEAVOR TO MA <br />•EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL LL <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />,yam <br />BUT FALURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY <br />OF MW KID UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />DAVID SEPPELT B2 A <br />>S >r M _,:: .. : • O:AeoAU CORPOiiISTroWts3. <br />