04/08/1996 Council Packet - Laserfiche WebLink

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J4-V3Jb 1b:e INSURANCE MARKETING CENTER 14500 BURNHAVEN DRIVE SUITE 135 BURNSVILLE, MINNESOTA 55306-6199, PHONE 612/435-1606, FAX 6.2/435-1693 WATS B00/245-0023 CERTIFICATE OF INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. INSRD NAME: STEVE J. ARHIP, JR. DBA: ARHIP, STEVE J. JR. LIC HOLDER: STEVE J. ARHIP, JR. INSRD ADD : 786e LAK DRIVE INSRD CITY: LINO LAKES MN 55014 CONFERS NO INSURANCE COMPANY AFFORDING COVERAGE PARK GLEN NATIONAL INSURANCE COMPANY .10===4*4*4*4*4*22=4*22=========1.P1===.=4*4*====04*=1.4*= THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE HAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 9Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TBE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. ==$4...1==========4*.4*4*=4*22===4*=4*4*=.A,S==============....”=======4*x===.===4*a TYPE OF INSURANCE POLICY NUHBER: EFFECTIVE FROM: TO EXPIRATION DATE LIABILITY LIMITS: $ 50,000 BODILY INJURY EACH PERSON, $ 100,000 EACH COMMON CAUSE $ 10.000 PROPERTY DAMAGE EACH COMMON CAUSE $ 50,000 LOSS OF MEANS OF SUPPORT EACH PERSON,S 100,000 EACH COMMON CAUSE S 300,000 ANNUAL AGGREGATE LIQUOR LIABILITY MNLL960438 0-7/01/96 07/01/97 ---------CANCELLATION --------- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELON. ====.21=ww======4*m.======,==========.22==4*1=====.===22==========.1tss=========s=== ERTIFICATE HOLDER: CITY OF LINO LAKES ATTN: MARILYN ANDERSON 1189 MAIN STREET LINO LAKES MN 55014 T.M.C, ami AUTHORIZED REPRESENTATIVE TOTAL P.02