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CONTINUE FROM PREUtOU$ PAGE 001 <br /> <br />INSURANCE <br /> <br />A certificate of insurance, in accordance with Ramsay City Code, providing for insurance <br />against loss 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 Workers' 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' Compensation insurance as provided by Law. <br /> <br />LICENSED HAULER <br /> <br />In accordance with Ramsay City Code, all refuse haulers must be licensed prior to <br />operati~r~in the City. is your company currently licensed to haul refuse within Ramsey? <br /> /~. Yes License # ~V/~ <br /> No / <br /> <br />Please provide thC name and title of the authorized representative completing this form: <br /> ii <br /> <br /> Name ~(please.pdnt) <br /> <br />',...S_i.g_.n,a~u re '" --~ <br /> '? y,-¢.'? C.. <br /> :.L~ ,3~:-~ ', ':-~. . ,¢," <br />Business Name ' .' <br /> <br /> Business Address <br /> <br /> ._. F'-~'FCi(. ' t <br />City <br /> <br /> · ' <br /> <br />Business Telephone Number <br /> <br />Submit these two completed quote sheets and a letter of interest by 4:45 p.m., <br /> <br />Monday, July 17, 2000 to: <br />Klm Moore-Sykes <br />Assistant City Administrator <br />City of Ramsay <br />15153 Nowthen Blvd. NW <br />Ramsay, MN 55303 <br /> <br /> Phone: (612) 427-1410 <br />,-'\.,,~ ' Fax: (612)427-5543 <br />. .' ;~,.X? -122- <br /> <br /> <br />