Laserfiche WebLink
♦aa.,' '.y-, �, «.+ t'-..r i e `" " r :•:., '�*'',%z,.at-p,n. [, �. ,,-. {<:>"i.-.' e+•x' a r -� e J <br /> .•..; .-"''„$ '�iw.t-,� `'♦ 3 ''••r'F t EXXXXXX s tF r .as+ill► .. .- -�- -T'�`'7�r ' '= f.f;,� — s <br />; 1 �j' . R. t , t t . , r._,• . r w r - '� . 3 Policy Nu,..ber <br /> r <br /> ApD�ESS COMPANY <br /> MENDEL S. KALIFF INSURANCE Lloyd's U.S. <br /> 70 N.E. Loop 410, Suite 440 !— ,, e -I _ A, Jan 1-t9 87 <br /> San Antonio Texas 78216 <br /> Expires _X 12:01 am ,— Noon Jan 1.19 88 <br /> This binder is issued to extend coverage in the above -amec <br /> company per expiring policy # <br /> excea!as nc!e7 uelo+ <br /> NAVE AND MAILING ADDRESS OF INSURED Description of Operation/Vehicles/Property <br /> AMERICAN BICYCLE ASSOCIATION, 1NC. <br /> 8620 N. New Braunfels, #311 <br /> San Antonio, Texas 78217 <br /> i <br /> i <br /> i <br /> Type and Location of Property Coverage/Perils/Forms JAmt of Insurance Ded coins <br /> i 1 <br /> I i <br /> r R I <br /> OP <br /> E <br /> R <br /> T i <br /> Y <br /> i <br /> i <br /> Type of Insurance Coverage/Forms Limits of Liability <br /> I Each Occurrence Aggregate <br /> L <br /> I Scheduled Form :_{-X Comprehensive Form ; Bodily Injury S s <br /> A 'X Premises/Operations i <br /> F Products/Completed Operations Property Damage is S <br /> L XX <br /> Bodily to ur s <br /> I _ Contractual 1' JJ <br />.14 <br /> Y Other (specify below) (Property Damage is 1 ,000,OOdS None <br /> Med. Fay S Re, s P.- Corrbmec <br /> Ae•so� Acaa�r. � <br /> • Persona; Injury I L; A B L_ C I Perso,a' l^fUr; Is Inc 1 . <br /> Limits of Liability <br /> B Liability Non-owned — Hired Bodily Injury(Each Person) <br /> T Comprehensive-Deductible S Bodily Injure (Each Acctcent) S <br /> M j Collision-Deductible S <br /> 0 Medical Payments S Property Damage 5 <br /> I `. Uninsured Motorist S <br /> L No Fault (specify): f Bodiy Injury & Proper,v Damage <br /> E - — <br /> Other !specify): COmb!nec S <br /> _ WORKERS' COMPENSATION — Statutory Limits (specify states .,F c;:, — EMPLOYERS LIABILITY — Limit 5 <br />*SPECIAL CONDITIONS/OTHER COVERAGES <br /> Participant Accidental Death $3,000; Excess Medical $3,000 with $200 Ded. <br /> —1 — -- <br /> ND ADDRESS DF L✓ MORTGAGEE <br /> Lino Lakes BMX #1059 --- — Ii MENDEL S. KALIFF <br /> David Rhode <br /> I <br /> 2816 Blackstone Avenue, South I <br /> St. Louis Park, MN 55416 <br /> Neil Schuldt ��, �� <br /> City of Lino Lakes <br /> r <br />