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CC PACKET 01241984
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CC PACKET 01241984
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Last modified
12/30/2015 3:54:59 PM
Creation date
12/30/2015 3:54:36 PM
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SP Box #
16
SP Folder Name
CC PACKETS 1981-1984 & 1987
SP Name
CC PACKET 01241984
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• <br /> FNAMME O, . . <br /> AND ADDRESS OF AGENCY <br /> COMPANIES AFFORDING COVERAGES <br /> randow Howard Kohler & Rosenbloom, Inc. <br /> 601 Park Center Boulevard COMPANY inneapolis, MN 55416 A <br /> LETTER Home Insurance Company <br /> COMPANY <br /> LETTER <br /> NAME AND ADDRESS OF INSURED <br /> COMPANY <br /> Milton L. .Johnson Roofing & Sheet Metal LETTER <br /> Company, Inc. <br /> COMPANY D <br /> 2513 Central Avenue NE LETTER <br /> Minneapolis, MN 55418 COMPANY E <br /> LETTER <br /> This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement,term or condition <br /> 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 <br />the <br /> terms,exclusions and conditions of such policies. <br /> COMPANY POLIcr limits o L abil n Thousands <br /> LETTER TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE EACH AGGREGATE <br /> OCCURRENCE <br /> GENERAL LIABILITY BODILY INJURY s 500 1500 <br /> A ®COMPREHENSIVE FORM <br /> ®PREMISES—OPERATIONS IDRP317806 5/1/84 PROPERTY DAMAGE f 100 f 100 <br /> F] EXPLOSION AND COLLAPSE <br /> HAZARD <br /> ❑UNDERGROUND HAZARD <br /> ® PRODUCTS/COMPLETED <br /> OPERATIONS HAZARD BODILY INJURY AND <br /> ®CONTRACTUAL INSURANCE PROPERTY DAMAGE f f <br /> ® BROAD FORM PROPERTY COMBINED <br /> DAMAGE <br /> ® INDEPENDENT CONTRACTORS <br /> ® PERSONAL INJURY PERSONAL INJURY f <br /> AUTOMOBILE LIABILITY BODILY INJURY f <br /> (EACH PERSON) <br /> ® COMPREHENSIVE FORM BODILY INJURY f <br /> ® OWNED (EACH ACCIDENT) <br /> ® HIRED PROPERTY DAMAGE f <br /> BODILY INJURY AND <br /> ® NON-OWNED BA 2989771 11/1/04 PROPERTY DAMAGE b <br /> COMBINED <br /> EXCESS LIABILITY <br /> BODILY INJURY AND <br /> UMBRELLA FORM PROPERTY DAMAGE f f <br /> OTHER THAN UMBRELLA COMBINED <br /> FORM <br /> WORKERS'COMPENSATION STATUTORY <br /> and <br /> 7947 1/1/85 <br /> EMPLOYERS'LIABILITY f 100 (EACH ACCIDEN11 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES <br /> Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com- <br /> pany will endeavor to mail lU days written notice to the below named certificate h <br /> mail such notice shall impose no obligation or liability of any kind upon the co <br /> NAME AND ADDRESS OF CERTIFICATE HOLDER <br /> Ci ty of St, All /Y: <br />
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