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%&.%A V. 0wro, • NAyf AND ADDRESS OF'AGINCV , , , , • • , •. , ••. 1 , Everson Insurance Agency COMPANIES AFFORDING COVERAGES NAME ANO.ADDRESS Or AGENCY ' 6515 Barrie Road coMP,NY COMPANIES AFFORDING COVERAGES Edina, Minn. 55435 LLnIq A Ideal Mutual Ins, Co. GOMPANY A LETTER Casualty Reciprocal Exchange Tel: 1-612-920-5583 COMPA"" LnER B Great Southwest Ins.Co. OOMPANY B NAME ANO ADDRESS 01 INSURED LFTTEq St. Anthony Lanes, Inc. co'p.Y C NAME AND ADDRESS Or IN$URFD Great Central Ins. Co. L COMPANY C 265 SK Anthony Lanes COMPANY p St. Afithony Lanes, Inc. ErtR 2654 Kenzie Terrace "IER DBA St. Anthony nes COMPANY St. Anthony, Minn. 55418 LETTER ,COMPANY E 2654 Kenzie Terrace LCTTR St. Anthony, Minn. 55418 COMPAN,E This is to cNtlfy that pdicioe of Insurance listed bB1oN nova Dean issued to the insurep named adore and are in force et Nis time. Notwithstanding any reduirement.term or condition LETTER Te any contract or ether decumenl such rasped to YFnkh this certificate meY he issued ar meY perieln.the inwrarlce afforded by the ppliCie,deathbed herein is subject to all the This u tocertily that policies Of btUM M listed beche lNLO belaJl Issued to the Insured named atlove erq are In Itlrce at this tlma. NohHthstelWi an Terms.exclusions and<OMitlons W such pdiciet. of MY eantrstl W o doCuntent 10 respeel to Which this MMfirata_Y Oe Issued a nub.pertain,the I f—erlpe iS tI afforded the n8 Y NWUilemenL Farm m COMilian terms.esduslorY and cor4flwle of such policies. M poli=fes abed herein is subject to eB ttla COMPANY PoLlcr nntso ablll In ousan e LCi TEP 7N PIT Of INSURANCE POLICY NUMBER CLPIPA71ON DATE EACH AGGREGATE COMPANY irP(Of INSURANCE POLICY LmisO Labl n ouNn s OCCURRENCE LEIT1. POLICY NUMR[R EXPIRATION BAIL [ACX AGOREGATC GENERAL LIABILITY OCCURRe NCE �y eooeY INJUR. s { GENERAL 11A&lRY C �}CO.MPNIHENSIV! TORN GB 3048527 3/15/84 [[�� El TO BODILY INJURY f f tip. PR1.Ml$ES-OP IONS - PROPERTY DAMAGE { f ❑PREMISES-OPERA)IONS ❑E•q OA� AND COLLAPSE ❑EXPLOSION AND COLLAPSE PROPERTY DAMAGE s f EJP❑UNULRGROUND HAZARD ❑UNDCRO ROUND HAZARD DUCTI ONS COMPIEFEIT SMNAZARD ❑PRODUCTSA:DATPIETED BODILY INJURY AND OPERATi AS HAZARD EJORORACIUAL INSURANC( PROCOMBINED AG` 1500, 1500, ❑CON RACTUAL INSURANCE S.ft �BIGAD GE PROP[PlY BROAD FORM PROPERTY, BODIL Y INJURY AGE f bb lL [[�� DAMAGE - PRpPf RTY DAMAGE f QL]LINIIEPLNDINT CONTRAC.IOR$ ❑INDEPTND[Ni CONTRACTORS COMBINED kiPt RSONAI IN JURv trl3 PEIrONAL INJURY s 10 ❑PERSONAL INIURY - - AUTOMOBIIE LIABILITY eopnr mmar ` PERSONAL INJURY e �y t C [�� KZCOMPPf rn NSIVT.IUHM (EACH PERSON) AUTOMOBILE LIABILITY BODILY INJURY BODILY CIDER t - ❑ (EACHPERSON) f rycr ❑OWNIU (EACH ACCIDENT) COMPREHENSIVE FORM E§{{' ❑ BODILY INJURY s Inm U PROPr RTr DMAaLI s ❑OwNCD (EACH ACCIDENT) E faN.—IIID GB 3048527 3/15/84 POOR I INJURY AND 1 ❑HIRED PROPERTY DAMAGE { F-I.KHTI—AGI 500, El ON O..t. BODILY INJURY AND rOM111nIil t EXCESS LIABILITY PROPERTY DAMAGE 7T- uMRmIIA IDRM BODILY,INJURY AID EXCESS LIABILITY COMBINED .�' B UC 3050521 3/15/84 FRDPL In DAMAGE tl,000, 11,000, E]UMBRELLA FORM ` BODILY INJURY AND I—1 DIInRIUAn uNnRUls 1 t 10- fl1MBINFD ❑OI Hf'P THAN UMBRELLA PROPERTY DAMAGE WORNERS'COMPENSATION FORM COMBINTU sleruloRY WORN ERS'COMPENSATION and ,`3'j �// Y� _ _ EMPLOYERS' A and 7/1 /83 STATUTORY HERABILITY { - EMPLOYERS'LIABILITY IlOO, Minnesota_3.2 OTHER =I�Nn A. Beer Liability GA 83-3832 3/15/85 150/SOLI/500 'i_.,RIPnIIN OF OPI RATIONSIIOCAIILINS.VrInC'LI5 I Bowling Center DESCRIPTION OF OPERA FIONSrLOCAI IONSNEHICLE$ Bowling Center Cancellation: Should any of the above described policies be cancelled before the expiration date thereof.the issuing corn- Cancellation: Should any Of the above described policies be cancelled before the expiration date thereof,the issuing com. pany will endeavor to mail��days written notice to the below named certificate holder.but failure to pany will endeavor to mail 10—days mail such notice shall impose no obligation or liability of any kind upon the company, ys written notice a the below the co certificate holder.but failure to mall such notice shall impose no obligation Or liability of any kind upon the company. - NAM)ANDADDRCSSOFCLRTIFR:AIEHOLDER: I The City of Saint Anthony DATE ISSUE_March Q NAME AND ADDRLSSOF CCRIIFIC.IE HOLDR i 3301 Silver Lake Road The City of Saint Anthony DATE ISSUED- March 11�19R4 St. Anthony, Minn. 55418 �l'/� St. Anthony,LMinn. 55418 / Wu�, AUTHORIZED REPRESENTATIVE 1 i L AUTHORIZE.RLPREsT 1 IVE — - ACO%25(1—)