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+_< <br />JUN— 9-95 FRI 9:03 INSURANCE OFFICE <br />ACORD 1 <br />CERTIFICATE O F <br />FAX NO. 6124973646 P. 01 <br />INSURANCE I ISSUE DATE (MN/DrJYY) 0504/95 <br />PRODUCER <br />Minaeaota Hospitality Ins. <br />P.0 Pox 250 <br />St. Michael MN 25376- <br />Coda SLB -Cod <br />INSURED <br />Janice Amita d/b/a <br />✓ & K Li.T..ora <br />6013 Hodja.a Road <br />L ino Lakes EN 55014- <br />4MY..a -ffc <br />THIS CERTIFICATE IS ISSUED AB A MATTER OF INFORMATION 0Nt.5 AND CON- <br />I PERS NO RITE UPON TEE CERTIFICATE MOLDER. TIII& CERTIFICATE DOES NOT <br />AMEND, EXTUInOR ALTER MTV CQVBRAGE AFFORDED BY THE POLICIES 'mow. <br />C 0 <br />COMPANY <br />LETTER A <br />coM rANY <br />LgIrBR B <br />COMPAMT <br />LETTER C <br />COMPANY <br />LETTER ! <br />COMPANY <br />LETTER E <br />H PA)SI <br />5 6 WORDING <br />Maryland Insurance <br />COVER <br />3011.11111.53 <br />A a s <br />COVERJAOEE <br />THIS I9 TO CERTIFY THAT 'IUB POLICIES OP INSURANCE LISTED $SLOB HAVE 2SEN ISSUED TO THE INSURED NAMED ABOVE FOR TEE POLICY <br />PERIOD INDICATED, NiYIWITHBTANDING ANY REQUIRgMBrr, Tam QR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />THIS CERTIFICATE MAY BE ISSUE= OR MAY PERTAIN, THE INSURANCE AFFORDED By THE POLICIES EIJIZCRIBED =REIN IS SUBJECT TO ALL TifE <br />T6RHS, EXCLOSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT! RHONE NAY HAVE BEEN REDDCRL BY PAID CLAIhf3. <br />COl <br />LTR1 <br />TYPE OP INgEfutmcs <br />GENE2AL LIABILITY <br />[ jICOMM GENERAL LIAE$LITY <br />cLAIH0 MADE OCCUR <br />t l IOWNR,s & CONTECTR's PROT <br />C 31 <br />L. 31 <br />AUTOMOBILE LLASILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED ADTO! <br />NON -OWNED AUTOS <br />GARDE LIAHILTTY <br />EYCE08 LIABILITY <br />[ <br />11 UMBRELLA FOI1 <br />L 11 OTHER 7HAN UMBRELLA. POEM <br />l POLICY 1 POLICY l <br />1 POLICY NUMBER Epp DATE 1 EXP DATE 1 <br />+ + +- <br />L IMITS <br />GENERAL ACGREGAT'E <br />PROD-C06EP)OPE AGGRB(JT8 <br />DBEs & ADVERTISING INJ <br />EACH OCCIIRRBNCB <br />PI1EB DAMAGE (ONS FIRE) <br />MED EXPBNSB (OME PBABGN) <br />COMBINED SINGLE <br />LIMIT <br />BODILY INJURY <br />r :rz Fes ) <br />BODILY INJURY <br />(PER ACC) <br />PROPERTY DJ M cB <br />SAC& OCCURRENCE <br />ANCREGATE <br />[ 1 lTJTUTCRY LIMITS <br />1 NoEXER'S COMPHMEAflom HACf ACCIDENT <br />AND AIEBASE-POLICY LSMI1" <br />EMPLOYER'S LIA)3iLITY DISEAss-EACII EMPLOYEE <br />o'TEER <br />A 1 LIQUOR LIABILPPY PPS 22337210 07/01/95 07/01/96 PER PERSON <br />PER OCCURRENCE <br />AGGREGATE <br />sa0000 <br />6aa00o <br />503000 <br />DESCRIPTION OP OPERATIONS/LOCATI41iw%VEEICLES/lPECIAL IVEms <br />==CERTIFICP.TR HOLDER <br />City of Lino Lakes <br />City Hall <br />Lina LAkcc MN SS014- <br />ACOED 25-S (7/90) <br />+cf..fNfa <br />CANcELLATI0N <br />SHOULD ANY OB THE ABOVE DESCRIBED FOLICIR9 B@ CANCELLED BEFORE <br />THE EXPIRATION DATE TMEREOP, THE ISSUING COMPANY !PILL ENDEAVOR <br />TO MAIL 10 DAYS WRITTEN NOTICE TO TEE CERTIRICATQ HOLDER <br />NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH Non= SHALL IM- <br />POSE NO OBLIGATION OR LIABILITY Of ANY (CIND UPON THS COMPANY. <br />TTS ACBNT0 OR REPRESENTATIVES, <br />AUTHORISED RHPRBSENTATI___ <br />MORD CORPORATION 19901 <br />