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tstnoer No. n <br /> AND ADDRESS OF AGENCY COMPANY <br /> HOME SE-(VICE CE"'JER Progressive Casualty Insurance Co. <br /> HERRMANN AGEI`dCY Effective 12:01 am 3-28- , 19 83 <br /> 51? CENTRAL AVE. N.E. Expires ® 12:01 am ❑ Noon_ 4-28— , 19 8 <br /> MINNEAPOLIS, MINNESOTA 55414 ❑This binder is issued to extend coverage in the above named <br /> 378.2291 company per expiring policy# <br /> (exow as rated Demo► <br /> NAME AND MAILING ADDRESS OF INSURED Descripdon of Operadom'Vehicles/Prop" <br /> Vincenzots, Inc. On premise sales of wine and 3.2 beer <br /> 2527 Harding St. N.E. <br /> St. Anthony, MN 55418- <br /> Type and Location of Property Coverage/Perils/Forms Amt of inuwance Ded. x` <br /> P <br /> R <br /> 0 <br /> P <br /> E <br /> R <br /> T <br /> Y <br /> Type of Insurance Coverage/Forms Limits of Liabil' <br /> L EacAOmmence AW9199 <br /> 1 ❑Scheduled Form ❑Comprehensive Form Bodily Injury $ $ <br /> A ❑ Premises/Operations Property <br /> B ❑ Products/Completed Operations Damage $ $ <br /> L ❑Contractual Bodily Injury& <br /> 1 ❑Other (specify below) Property Damage <br /> y C bin <br /> Y ❑ Med. Pa $ Per Per <br /> Person Acudent <br /> ❑Personal Injury ❑ A ❑ B ❑ C Personal Injury $ <br /> A Limits of Liabil' <br /> U ❑Liability ❑ Non-owned ❑ Hired Bodily Injury (Each Person) $ <br /> T ❑Comprehensive-Deductible $ Bodily Injury(Each Accident) $ <br /> 0 ❑Collision-Deductible $ <br /> M ❑Medical Payments $ Property Damage $ <br /> 0 <br /> 8 ❑Uninsured Motorist $ <br /> 1 O No Fault (specify): Bodily Injury &Property Damage <br /> L ❑Other (specify): ! Combined $ <br /> E <br /> ❑ WORKERS' COMPENSATION — Statutory Limits(specify states below) ❑ EMPLOYERS' LIABILITY — Limit $ <br /> SPECIAL CONDITIONS/OTHER COVERAGES : Liquor libility, 50/100/10 Bodily Injury and Property Damage <br /> 50/100 Loss of means of support <br /> Binder issued pending receipt of renewal of policy #GA 3777262 expiring 3-28-83• <br /> NAME AND ADDRESS OF ❑ MORTGAGEE ❑LOSS PAYEE ❑ADD'L INSURED <br /> LOAN NUMBER <br /> k .ct.►� 3/9/83 <br /> Signature of Authorized Representative Date <br /> ACORD 75(11-77) <br />