05/22/2000 Council Packet - Laserfiche WebLink

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ca■ •�, > >' PRODUCER PLYMOUTH AGENCY pk x...? � �- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE POLICIES BELOW. ISSU E DATE M /DD (M /Y Y) 11/12/99 ONLY AND THIS CERTIFICATE AFFORDED BY THE 7801 BASS LAKE RD SUITE 220 NEW HOPE MN 55428 COMPANIES AFFORDING COVERAGE COMPANY A LETTER PI FIRST SPECIALTY INSURANCE CO COMPANY INSURED LETTER B AMERICAN LEGION POST 566 COMPANY G. LETTER 3860 FLOWERFIELD ROAD COMPANY LETTER D CIRCLE PINES MN 55014 -3724 COMPANY LETTER E THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM /DD /YY) POLICY EXPIRATION DATE (MM /DD /YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP /OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any one tire) MED. EXPENSE (Any one person) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR. $ $ OWNER'S & CONTRACTOR'S PROT. $ $ AUTOMOBILE LIABILITY ZANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE AGGREGATE $ $ UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT DISEASE — POLICY LIMIT DISEASE —EACH EMPLOYEE $ $ A OTHER LIQUOR LIABILITY LL33 -018 11/12/99 11/12/00 $300,000. EACH COMMON CAUSE $300,000. AGGREGATE DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS FRATERNAL CLUB LOCATED AT: 7731 LAKE DRIVE; LINO LAKES, MN �eJFIIrA`fEx 3�E, s�) "" y w LINO LAKES 600 TOWN CENTER PARKWAY LINO LAKES, MN 55014 -1182 PJ�. , s CANCtir NVA 0. emi i 44% SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL git ammaxlatx: MAIL 3Q* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, aMF'XIXI FXXX(X $MX/DITAXX)NCIIX(XXXXIXZEI Mk §tlakRRAMCIRXIRXX X AT§t fa,;;Xtt §tXX AUTHORIZED REPRESENTATIVE President