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From : JIM NESSER AGENCY INC 612-781-6514 Sep.01. 1988 01:54 AM P01 <br /> DATE(MM/DDIYY) <br /> ' A4 OOI:I1. CERTIFICATE OF INSURANCE <br /> PRODUCER THIS ONLYCANDFICATL IS CONFERSSNOED AS A RIGHTS UPON THE INFORMATION <br /> THE CRT FCATE <br /> Jim Nesser Agency ,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR <br /> 3807 Stinson Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> .... ......... <br /> St ANthony, Minn 55421 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> A St .paul Co <br /> INSURED COMPANY <br /> Stanley Murzyn B <br /> 2840 Highway 10 COMPANY <br /> • Moundsview, MInn 55112 c <br /> COMPANY <br /> D <br /> (COVERAGES <br /> 1HIS IS TO CERTIFY I IAI 1I II 1'01 ICIFS OF INSURANCL MILD DELOW HAVE BEEN ISSUED 10 11 I1 INS(If It fl NAMED ABOVL I OR'1111 POI ICY l'F.RIOD <br /> INUICAI LU,NOTWITI IS1ANDING ANY HCoUIREMFNT,TERM OR CONDI1 ION Of ANY CONTDACT OR Mt ILII HOCLIMI:NT WITH RFSPECT TO WHICH 1111S <br /> 4r'II L)Olt MAY PERTAIN,THE. INSURANCE AFFORDED RY THE. POLICILS(ti CI11111 fI IIPIIFIN IS SUUJLC1 TO AL1. THF TERMS, <br /> LXCLIISIONS AND CONDITioNS,OI SUCI I POUCH'S,I IMITS SHOWN MAY HAVE.8E.'EN RCDUCFD RY PAln C. ',. <br /> POLICY EFFECTWE POLICY EXPIRATION IUNITS <br /> LTR _ I YA6 OF INSURANCE POLICY NUMBER DATE(IYUDDlYY) DATE(MMIDD/YY) I <br /> . <br /> !GENERAL UABILR Y GENERAL AUGIILOATE $ 1,000,Q90. <br /> . <br /> I <br /> A COMMERCIAL GENERAL UADIIItY VI ICUUCTB-CDMP/OP AGO $ 1,0,0 0 j.Q.Q..0 <br /> � <br /> ICu1MSMAUt 1x (°:CURBinder 789453 10-1-93 10-1-94 PERSONAIAADV INJIIRY $ 500,000n <br /> I ` r.ACI OCCURRENCE F 500,0.0.0. <br /> !OWNER'S A CONT rR01 I , <br /> I FIRE DAMAGE(M,DIM Erb) $ .5 0,0 0 0 <br /> II .MLU LxP(Any one person) I -.._._54000 <br /> AUTOMOBILE LIABILITY COMBINED SING(F(WIT $ <br /> Il I ANY AUTO <br /> I ALL OWNED AUTOS BODILY INJURY $ <br /> (Pm person) <br /> (SCHEDULED AUTOS <br /> I HIRED AUTOS I ROIIIY INJURY $ <br /> I 1(I'N accident)INON-OWNED AUTOS <br /> PROPERTY DAMAGE <br /> Al ITO ONLY-CA ACCIDENT $ <br /> GARAGE LIABILITY .. . .. _. ..-. ..I <br /> ANY AUTO O1 H LI I THAN AUTO ONLY; <br /> EACH ACCIDENT $ I <br /> I I I AGGREGATE $ <br /> I EXCESS UABIUTY I 'L ACI1 WWI INENCE $ <br /> 'UMBRELLA FORM I ACUHtOA1 E $ <br /> { IO1 HER THAN UMRRFI I A FORM S. ....__.._......._...._... <br /> • <br /> WORKERS COMPENSATION AND I _ I I S 1 ATU1 OHY LIMITS <br /> EMPLOYERS'LIABILITY CACI I ACCIDENT $ <br /> THE PROPRIETOR/ -----I(NCI_ UISFASE-POLICY LIMI1 $ <br /> PARTNERS/EXECUTIVE — <br /> OFFICERSARF: I 1CXCI DISI-AS;.EArHEMPLOYEE $ _ ) - <br /> OTHER ......... __ I <br /> Ai Liquor Liability Binder 789453 10-1-93 10-1-94 $500,000/$1,000,000 <br /> limit <br /> DESCRIPTION OF OPERATION1;ILOCATIONSNCHICLES/SPECIAL ITEMS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY Of THE ASOVF DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> City of Moundsview EXPIRATION DATE THEREOF, lilt ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> 2401 Highway 10 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TME LEFT, <br /> Moundsview, mInn 55110 BUT FAILURE TO MAIL SUCH NOTICE!SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON Tilt C. PANT, RS_AGENTS OR REPRESENTATIVES. <br /> AI3TNORCEED REPRESENTATIVE j <br /> ACORD 25.3(3/93) <br /> • A RD CORPORATION 1993 <br />