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2021.03.15 CC Packet
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2021.03.15 CC Packet
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3/15/2021 9:43:36 AM
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3/15/2021 9:40:45 AM
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City Council
Document Type
Agenda/Packets
Meeting Date
3/15/2021
Meeting Type
Regular
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<br />23 <br /> <br /> <br />EXHIBIT E <br /> <br />CERTIFICATE OF INSURANCE <br /> <br /> <br />PROJECT: <br /> <br />CERTIFICATE HOLDER: City of Hugo <br /> 14669 Fitzgerald Avenue North <br /> Hugo, MN 55038 <br /> <br />INSURED: <br /> <br />ADDITIONAL INSURED: City of Hugo <br /> <br />AGENT: <br /> <br />WORKERS’ COMPENSATION: <br /> <br />Policy No. <br /> <br />Effective Date: Expiration Date: <br /> <br />Insurance Company: <br /> <br />COVERAGE – Workers’ Compensation, Statutory. <br /> <br /> <br />GENERAL LIABILITY: <br /> <br />Policy No. <br /> <br />Effective Date: Expiration Date: <br /> <br />Insurance Company: <br /> <br />( ) Claims Made ( ) Occurrence <br /> <br />LIMITS: [Minimum] <br /> <br />Bodily Injury and Death: <br /> $500,000 for one person $1,000,000 for each occurrence <br />
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