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ACORD,, CERTIFICATE OF LIABILITY INSURANCE <br /> <br />PRO~VCE~ C763)533-4499 <br />Ray ~mith Insurance Agency 1nc <br /> 4124 Quebec Avenue North. #207 <br /> New Ilope, MN 55427 <br /> <br />INS,I.Fn M'{~'esota'~ MA~{'~ MSdway <br /> 18960 3asper S~reet NW <br /> Anoka, MN 55303 <br /> <br />COVERAGES <br /> <br />(763) 533-6283 <br /> <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Or~LY AND CONFERS NO RIGHTS UPON TH~ CERTI[:ICATE <br /> HOLDER. THIS CERTIFICATi~ DOES NOT AMENO, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED By THE POLICIES BELOW. <br /> <br /> INSURERS AFI'ORDING COVERAGE <br /> <br />~su~R~ $cottsda'le ;Insurance Company' <br /> <br /> THE POLICIES oF INSURANCE LIST~D'EELOW HAVE BEE~ ISSUED TO THE INsuRED NAME~ ~OVE FOR THE PC~)CY PERIOD iNDICaTeD. NOTWrTHSTA~DING <br /> ANY REQUIREMENT, TERM OR C~Di~ON OF ANY CO~CT OR OTHER DOCUMENT WITH RESPECT TO ~ICH ~S CER~FICATE MAY <br /> MAY PERTAIN, THE )NSU~CE AFFORDED BY ~E P~ICIES DESCRIBED HEREIN IS SUBJECT TO ~ THE TERMS, EXCLUSION~ AND CONDi~ON$ OF SUCH <br /> POL[CIES, AGGREGATE LIMITS S~WN MAY HAVE BEEN REDUCED BY PAID C~IMS. <br /> <br />LT~ ~PE OF IN~U~NCE POL~Y NI IMRFR DA~M~D~ OAT~.(M~iUU~Y~) .... <br /> ~ ALL OWNED AU~O~ ~DILY INJURY <br /> 3CHEDU~ED AU'I U~ (Per pe~n) <br /> HIRED AUTO~ BODILY <br /> ~ NON,OWNED AUTOS {Pe' ~lde:~[) <br /> PROP[R~ D~AGE <br /> ~ (P¢r accent) <br /> <br /> GAUGE LIA~ILI~ AUTO ONLY- ~ A~ID~T <br />  ANY AUTO 0~[~ TI }Afl <br /> AUTO ONLY: <br /> ~ OCCU~ ~ C~S MADE AG~REGA~ <br /> WO~COM~S.~IO.A~O " )4-05785'~-08 O7/09/[9g~ 07/09~2000 WCSTATU-' ]OTH. <br /> <br />I <br />I -'-VENT DATES: <br /> <br />OESCRIFT1ON OF OFERA~ON~LOCA~ONS/V~RIOLE~CLU$ION~ ADDED BY ~NDORSEMENWSP~CIAL PRO~ON$ <br /> <br />~AY ZS,26.Z7.Z8 2000 <br />tUGUST 17.[8~19,20 Z000 <br /> <br />CERTIFICATE HOLDER J J ADI]ITIO~AI. INSURED; INSURER. LET[ER: <br /> <br />Attn; Bob M~llen <br />5900 - l~Tth Avenue NW <br />Ram~ey, MN 55303 <br /> <br />ACORD 25.,S (7/97) <br /> <br />CANCELLATION <br /> <br />SHOULO ANY OF THE ABOVE OESCR/BEO POLICIES ge CANCELLED BEFORE THE <br /> <br />EXPIRATION OAT~ THEREOF, THE I.~iSUING COMPANY WILL ENDEAVOR TO MAIL <br /> <br />BUT FAILURE TO I~,L SUCH NO~E S~L JMP~E NO O~ATI~ OR ~DIL~ <br /> <br /> <br />