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AMERICAN HARDWARE MUTUAL INSURANCE COMPANY <br />IIOMI ofIICI. - N-INNEAPOLIS.MINNESOTA •\,�1r��61]1�i/9�� <br />CENTRAL DIVISION <br />p.0. DnY 435MIN1tl'-r•nOt15, MINNE501A 55440 <br />MEMORANDUM OF INSURANCE RCl Cl✓ED <br />Nante Of Insmed_wuvinl'— <br />..Ar, enAklrC eva a MiMJEAPOLIS PIN <br />Project —`--- <br />Location 2537 NE H#— 10 <br />This is to certily that the following policies, sul'lecl to their cams, conditions and exclusions, have been issued. <br />TYPE OF POLICY: Scheduled NntrComprehensive Auto Liability ❑ <br />Comprehensive Auto Liability ❑ <br />Scheduled Non -Comprehensive General Liability ❑ <br />Comprehensive General Liability <br />Odmt dean ahovc SPECIAL.-MULT3—PEgIL- <br />04—OIr83 �1—&e <br />N <br />Policy u. <br />3-2291061 Inception Date Expiration Date <br />Automobile Other Than Automobile <br />Limit of Liability: <br />Each Person <br />Bodily Injury Liability --- - <br />Each Occurrence <br />---'— �— <br />Aggregate <br />�--- <br />Each Occurrence <br />Property Damage liability — "�-- <br />Aggregate <br />500r00— 0 <br />Each Occurrence <br />Bodily Injury & Property 500f0-- OO <br />Aggregate ' <br />Damage Liability _-- <br />Yes <br />No <br />Coverage Provided: <br />Ei <br />❑ <br />Premises or Lessor's risk only <br />❑ <br />oprml ions of Cnntt Bruit <br />❑ <br />Operations of Subcontractor (contingent) <br />❑ <br />Plodnets - Cumplelcd Operatiuus <br />for 'hold harmless agreement; <br />Contractual Liability to Include coverage <br />❑ <br />if such agreement is contained in the specifications or subcontract. <br />Property damage liability covers: ❑ ❑ <br />Damage clue to Idastirg Ex ❑ <br />Damage due W collapse Cz ❑ <br />Damage to underground facilities EX ❑ <br />Broad Form coverage LIQUOR LIAB LIMIT 500t000 EX ❑ <br />Other than above E&JES_JD-e2_SALE.S— <br />WORKER'S COMPENSATION: 01OIr84 <br />Inception Date 01-01-83 E%pirationDate��— <br />Policy No. 3-2M23 Employer's Liability Limit S 1009000 <br />Coverage—Wmkcr s Campensatinn, Statutory UMBRELLA LIABILITY: 04-01-84 <br />Policy No. <br />3-2147361 Inception Date 04-0143 Expiration Date �— <br />LIMITSOF IS15f000s000 Each Occurrence IS101000 Retained limit IS 15s000e000Aggregatelimit <br />LIABILITY <br />In the event Of any material change In. o, Cinu:elappp of any of the above Voncml. 10 DAYS <br />ooi6e Iherepl mil he mailed to the parties to Whom Hill memos olWn is Hued. <br />THIS COVERAGEFICATE OF AFFORDED INSURANCE NEIT14ER AFFIRMATIVELY NOR <br />NEGATIVELY AMENDS, EXTENDS OR ALTERS THE <br />THE POLICY OR POLICIES ES TO WHICH IT PERTAINS <br />i <br />Dated <br />03-11-83 CF <br />Autb-vcU Inswanl:c Company Representative <br />u., <br />511.1592111.791 a e� <br />