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JUN 1'95 14:33 FR <br />TO 464456E P.01/01 <br />ACIMIL - IF CAlEVFINSURAN <br />mow:mg <br />CASUALTY UNDERWRITERS, INC_ <br />} 740 RICE STREET, SUITE 300 <br />ST. PAYTL, MI 55113 <br />.. ... .. ..,. _._. .. <br />INSURED <br />SHIRLEY ¥AYES INC_ <br />DBA: SHIRLEY KAYE I S <br />6810 LAKE DRIVE <br />LINO LAKES, MN 55014 <br />- I6SV6 DATE(MINDOTYY <br />_ w , <br />/1195 <br />TIS 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 />POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY A <br />LETTER ILLINOIS INSURANCE EXCHANGE <br />COMPANY r <br />LETTER id <br />COMPANY <br />LETTER <br />COMPANY 0 <br />LETTER <br />CCIMPANY C <br />LETTER G <br />COVERAGES _ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED INFLOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POI ICY PERLOO <br />INOICATFD, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHJCII THIS <br />CFRTtFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEb BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES UMITSS SHOWN MAY HAVE SEEN REDUCED BY PAtD CLAIMS_ <br />CO TYPE PE INSURANCE POLICY tiUMSER MILKY Qp CTVE :•QLlV {;jIAA7AT[pN LIMITS <br />LTR PATE {MMtdDTYY7 BATE {MtwDDNY} <br />GENERAL -LIABILITY GENERAL AGGREGATE $ <br />COMMERCIAL GENERAL LIA6fLITY PR)OUGT3COMPTOP AGC. S <br />CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY F <br />OWNER'S & CONTRACTOR'S PRO's. EACH OCCURRENCE S <br />FIRE DAMAGE Any one IWO $ <br />MED. EXPENSE {Ary a -w Io"T i `a <br />AUTOM88&LE LIA8tLUTY CGru16LNEP SINTiLE E <br />UrAtT <br />ANY AUTO <br />ALL OWNED AUTOS 966CY ldil URI' S <br />SCHEOUL£o AVTos L TTHE fa 1STNES0T�, OH pa.sonl <br />}TIRED AUTQS i'siiS 11'IS't3RANt 15 ii}E4 rURSLA'1T , �0 NCE IS PLACED .. <br />NON -OWNED AUTOS SURPLUS LINES }NSDR>UiCE ACT, THIS 1 vSslRit STATE idOR o°'Lylawny S <br />GARAGE IA8771TY w1Tf1 {Ute i,NSU1RER THAI 45 NOT ! 1�c�RIF COMMERCE AS Aii <br />}DEGOGNUZED BY;HE CaMi�1SS10tiER <br />' OF At,1 DispuTE R£{.AT}VE PROPERTY DAMAGE 5 <br />••_... ' <br />EXCESS LIARILRY EL1131... R .i • 13 •.+�+ <br />E P(�i 1-}C' t 1 ... , EACH OCCURRING€ S <br />UMBRELLA FORA+ TO ME TERMS OR CQN4CTUONS Q� AGGREGATE s <br />OTHER THAN UMBRELLA FORM T10ES GF TOE thSURER, THE COMM1SSi4NER OE COCl€R <br />E -- <br />E S1kSPLITE.1N CA E-- 4f. <br />MIL it ¢AYk1ENT - • CI -AIMS 15 101 & r" 3ThTVYORr UNITS <br />WORKER'S COMPENSATION <br />INSOLVENCY- - EAGN ACCIO€ZIT s <br />ANC! <br />D2VVI4E...FOUCY LtMtT S <br />€MPLOYS<3{S' LIABILITY <br />(DISEASE—EACH EMPLOYEE S <br />OTHER <br />A. LIQUOR LIABILITY TO BE ASSIGNED 711/95 7/1/96 QCCURANCE FORM I <br />LIMITS; 300/300/300/300/184 <br />jjUU <br />OEC PTIBN OF OPERATIBNSILOSATIONSfYEHIGI.F.wsPECIAC ITEMS <br />, CERTIFICATE HOLDER <br />' - <br />CITY OF LINO LAKES <br />1189 MAIN STREET <br />LINO LAKES, MN 55014 <br />. <br />• <br />ACOHD 25-S (7t9*) <br />CANCELLATION . <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO <br />:' MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LES', 8UT FAILURE TO MAW SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF. ANY JCINO LEON THE COMPANY. ITS GENTS OR REPRESENTATIVES. <br />AUR4OA • 'a. ... . - T VE <br />r <br />C+ACORD COHPOIIATION 1990 <br />** TOTRL PRGE.001 ** <br />