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tE AND ADDRESS Of AGENCY <br />John M Rieken Agency <br />354 East Wheelock Pkwy <br />St Paul Mn 55101 <br />St Paul Companies <br />Etfectwd2:01 Am August 24 <br />ExpiresZ) 12:01 am ❑ Noon 8/24 <br />D This binder is issued to extend coverage in <br />company per =b=ROtlrjMk _ Bound , <br />4239 <br />NAME AND MAUL ING ADDRESS Of INSURE <br />Description of Operation/Vehicles/Property <br />Micheal Bernhaaen D/B/A <br />N.A. Property Service <br />M.A. Property Service <br />Lawn Service & Landscaping <br />2929 Old Hwy 8 <br />Roseville Mn 55113 <br />Residential & Commercial <br />Type and Locatlon of Property <br />Coverage/Perils/Forms <br />Anil of Insurance <br />Dad. <br />C s ` <br />'P <br />R <br />0 <br />S M.A. Property Service <br />Bid Bond <br />$500.00 <br />-0- <br />_ <br />P <br />IE <br />R <br />T <br />Y <br />Type of Insurance <br />Coverage/Forms <br />Limits <br />of Liabili <br />EachOccunence <br />A to <br />L7rEScheduled <br />Form ❑ Comprehensive Form <br />Bodily Injury <br />$500 Y 000 <br />$ 500 r000 <br />A Premises/Operations <br />Comml <br />Pro pert <br />I <br />T1 Products/Completed Operations <br />Damage <br />$100 Y 000 <br />$100 Y 000 <br />L <br />$1 Contractual <br />Multi — Pac <br />1 <br />0 Other (specify below) <br />Bodily Injury & <br />Property Damage <br />T <br />Y <br />❑ Med. Pay. $ I",$ Pe, <br />Pomm <br />coin ned Is <br />Personal <br />Injury <br />$ <br />Awdeni <br />0 Personal Injury <br />I ry <br />❑ A O B ❑ C <br />A <br />Limits of Liability <br />U <br />❑ Liability 0 Non -owned ❑ Hired <br />Bodily Injury (Each Person) $ <br />T <br />❑ Comprehensive -Deductible $ <br />Brdily Injury (Each Accident) $ <br />0 <br />❑ Collision -Deductible $ <br />U❑ <br />Medical Payments $ <br />Property Damage $ <br />g <br />0 Uninsured Motorist $ <br />Bodily Injury & Property Damage <br />❑ No Fault (specify): <br />L <br />❑Other specify): <br />Combined $ <br />E <br />® WONRtNS' WMPENSATION — Statutory Limits (specify states below) ❑ EMPLOYERS' LIABILITY — Limit $ <br />SPECIAL CONDITIONS/OTHER COVERAGES <br />Vehicles & Equipment <br />Certificate Issued <br />I City of Mounds View <br />'' 'i401 NE Hwy 10 <br />New Brighton Mn <br />LOSS PAYEE U ADDY INSURED <br />�, . N <br />ACORD 75 (11.77) 062 10HN M RIEKEN 4239 <br />