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'i Ii ISSUED AS A MATTER Or INFORM�1`101`1 ONLY AN D CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. <br /> (x�(y <br /> .. <br /> NAME AND ADDHES± Or ACINCY - - - <br /> COMPANIES"AFFORDING COVERAiltm, <br /> Financial Guardian Ins. Agengs Iac. <br /> P.O. Box 576 LETR COMPANY A. <br /> LETTER �If <br /> Wichita, ES 57201 - <br /> COMPRON <br /> LETTER B . r;• 'i' <br /> NAME AND ADDRESS OF INSURED <br /> COMPANY _: r <br /> LETTER <br /> nma Huts of the ft"u"111l>iat I=.• D <br /> 4840 V. 77th St.t Mite 196, LTER COMPANY <br /> LETTER .h; <br /> l eapolis, HN 55435 E <br /> COMPANY .x , w <br /> LETTER- ,I� k� c• -.r s:;! } -.�•� •, .. • <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. No tan -any reaulrement.term or <br /> of any contract or other document with respect to which this certificate may be issued or may pertain,the MsuranCe afforded by the polklns described hweln IS to ap tM <br /> terms,exclusions and conditions of such policies. -I!, -,1. m. Of Liabi In .., usan s <br /> COMPANY TYPE OF INSURANCE POLICY NUMBER POLICI ' 7 <br /> I E T T E R - - - EXPIRATION pAT6q. •�. "� , I >tt"t p . <br /> GENERAL LIABILITY r• �= ! J, f ..# �1 � ra f � '` �, <br /> ❑COMPREHENSIVE FORM <br /> ❑PREMISES—OPERATIONS ,PkCPENrY OAMAG <br /> 11 EXPLOSION AND COLLAPSE - ` <br /> HAZARD <br /> ❑UNDERGROUND HAZARD <br /> ❑PRODUCTS/COMPLETED ' ' <br /> OPERATIONS HAZARD - I `°•I° <br /> ❑CONTRACTUAL INSURANCE ^POILPEMDAMAGE. - <br /> ❑BROAD FORM PROPERTY u _ COMBINED <br /> DAMAGE <br /> ❑INDEPENDENT CONTRACTORS '• :)a Ir <br /> ❑PFRSONAL INJURY <br /> 1,•_..': PERSONAL INJURY <br /> AUTOMOBILE LIABILITY �.; BODILY INJURY <br /> (EACH PERSON) <br /> ❑COMPRFHFNSIVE FORM (' BODILY INJURY s <br /> ❑OWNED (EACH ACCIDENT) <br /> ❑ HIRED PROPERTY DAMAGE 1, <br /> ❑ NON-OYI°NFD BODILY INJURY AND s <br /> PROPERTY DAMAGE <br /> COMBINED <br /> EXCESS LIABILITY <br /> BODILY lirJilrnihlrif _; <br /> ❑ UMBRELLA FORM - <br /> . , 'PROPEI)LY DAtAAGE.' - <br /> ❑ OTHER THAN UMBRELLA '`". .j COMBtNEi)•. ;_.'��, "�'4r;, <br /> FORM. -" - <br /> WORKERS'COMPENSATION K <br /> and r. <br /> d EMPLOYERS'LIABILITY 72910027 "� <br /> OTHER <br /> _v <br /> DFSCRIPTION OF OPERATIONS/LOCH TIONS/VF HICLE$ <br /> 3801 'Stinwn Blvd. H.B. nf: ' <br /> St. AnthmW Villages M 55425 ; , «W, . , t. <br /> Cancellation: Should any of the above described policies,De.-cancelled bef&e'the ex0iration date thereof, the issuing corn-•. - <br /> pany will endeavor to mail -10-_ days written notice to the. beloW.'named certi}ifate_holder, but failure td. <br /> mail such notice shalt impose no obligation or liability of any kind upan:thecdrdpanyy,: <br /> > c 4 <br /> NAME AND ADDRESS OF CERTIFICATE HOLDER.'. ,�� ,�'� L' �' �•:.l ";'•;I.il•:*a <br /> DATE ISSUEf1 <br /> City of St.* mthoeq <br /> . .'r••.;P ' f ENTATIVE �" ._'. <br /> ACORD 25(1-79) `+•t ^r.,' ',da. 'f.,i 10y i•,.• .�•`�r:' ( r! .•�..�) <br />