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2® <br /> Page 2 <br /> • LIQUOR LIABILITY PROTECTION: <br /> OFFERED BY: UNITED NATIONAL INSURANCE COMPANY <br /> This policy will provide coverage and pay on behalf of the Insured all sums which <br /> the Insured shall become legally obligated to,pay as damages because of liability to <br /> which this insurance applies, if such liability is imposed under the Minnesota <br /> Statutes of 19855 Section 340A.801 (MN. Liquor Liability Law) and all laws <br /> amendatory thereof, for actions occurring at the insured premises that are not <br /> specifically excluded. <br /> COVERAGE LIMITS• <br /> BODILY INJURY-EACH PERSON 1,000,000 <br /> BODILY INJURY-EACH OCCURRENCE 1,000,000 <br /> PROP. DAMAGE-EACH OCCURRENCE 1,000,000 <br /> LOSS OF MEANS OF SUPPORT-EACH <br /> PERSON 1,000,000 <br /> LOSS OF MEANS OF SUPPORT-EACH <br /> OCCURRENCE 1,000,000 <br /> ANNUAL AGGREGATE 1,000,000 <br /> • <br /> PREMIUM BASIS• <br /> OFF-SALE RATE PER$100 .216 <br /> OFF-SALE LIQUOR RECEIPTS 1,800,000 <br /> PREMIUM BREAKDOWN: <br /> PREMIUM $ 3,888.00 <br /> SURPLUS LINES TAX 116.64 <br /> INSPECTION FEE 125.00 <br /> AGENCY POLICY FEE 100.00 <br /> TOTAL 12 MONTH PREMIUM $ 4,229.64 <br /> In order to bind coverage And issue a certificate of coverage we would need a <br /> signed application and 35% down payment ($1,480.00). Payment options are <br /> available, ask me for details if you are interested. <br /> Sincerely, <br /> Christop er T. Skelton, CIC <br />