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JUL <br /> <br />17 '00 <br /> <br />P.3/3 <br /> <br />INSURANCE <br /> <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br />I <br />I, <br /> ! ? <br /> <br />A certificate of insurance, in accordance with Ramsay City Code, providing for insurance <br />against Joss in the following amounts: <br /> Against liability imposed by law on account of bodily injuries or death of any one <br /> person in the amount of $100,000.00; <br /> For injuries or death to' two or more persons in the amount of $300,000.00 (other <br /> than those persons covered by WcJrkers' Compensation Law); <br /> Against liability imposed by law on account of damage to any property, except <br /> that of the licensee, in the amount of $50,000.00 <br /> Such insurance policies must. provide they will not be cancelled without 10 days <br /> written notice given to the City Administrator. <br /> Workers' Com~pensation insurance as provided by Law. <br /> <br />LICENSED HAULER <br /> <br /> accordance with Ramsay City Code, all refuse haulers must be licensed prior to <br />operation ip the City. Is your company currently licensed to.haul refuse within Ramsay?. <br /> Yes License # <br /> " No <br /> <br />Pleas_&¢_~rovide the name and title of the authorized representatfve completing this form: <br />Name (please print) <br /> <br />Signa~ur$ \ - ' <br /> <br />Busines~ Name <br /> <br />Business Address <br /> <br />_ I <br /> <br />City State Zip <br /> <br />Business Telephone Number <br /> <br />I <br />I <br /> <br />Submit these two completed quote sheets and a letter of interest by 4:45 p.m., <br />Monday, July 17, 2000 to: <br />Kim Moore-Sykes <br />Assistant Qty Administrator <br />City of Ramsay <br />15153 Nowthen Blvd. NW <br />Ramsay, MN 55303 <br /> <br />Phone: (612) 427-1410 <br />Fax: (812) 427-5543 <br /> <br />I <br />I <br />I <br /> <br />-120- <br /> <br /> <br />