Laserfiche WebLink
ord, <br /> <br />PRODUCER <br /> <br />BLACKBURN ~ N I C I<ELS <br />F'. O. BOX 367 <br />MZNNETONKA, PIN <br /> <br />INSURED ' <br /> <br />SUCCESSFUL CONCEF'T~ <br />DBA BIG SH[)TS ( <br />5450 XIMINOS LAN[E ; <br />F'LYMOUTH, MN 5~1~0~)~ <br /> <br />INC. <br /> <br />DVL. MP IhlC <br /> <br /> ISSUE DATE iMM/DD'Y'~ , <br /> <br /> 05/18/9~ <br /> <br />THIS CERTIFICATE I$ ISSUED AS A MA"rTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />FJC'FEND OR ALTER THE COYER~GE AFFORDED BY THE POLICIES BELOW. <br /> <br /> COMPANIES AFFORDING COVERAGE <br /> <br /> A ACCEPTANCE INDEMNITY ]]NS. COMF'. <br />COMPANY <br />LETTER <br /> <br />COMPANY ~ <br />LETTER <br /> <br />COMPANY C <br />LETTER <br /> <br />COMPANY D <br />.ETTER <br /> <br />COMPANY E <br />LETTER <br /> <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REOUIREI~iENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br />BE IBSUED OR MAY PERTAIN, THE RANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSION,?:,, AND CONDi- <br />TIONS OF SUCH POLICIES. <br /> <br /> TYPE OF INSURANCE <br /> <br /> GENERAL LIABILITY <br /> i COUP~EHENSIVE FORU <br /> <br /> PREMISESIOPERklIONS <br /> UNDERGROUND <br /> EXPLOSION & COLLAPSE HA2ARD <br /> PflODUCTS/COUPL[TED OPERATIONS <br /> ~O~ACTUAL <br /> INOEPSNDEhrT CO~TRACIORS <br /> <br /> I BROAD FORU PROPERTY DAI,~AGE <br /> ._~J PERSONAL INJURY <br /> AUTOMOBILE LIABILITY <br />[ iA"Y AUTO <br /> J ALL OWNED AUTOS IPRIV PASS ) <br /> J Au. OWNEOAUTOS / OTHER '[HAh'\ <br /> j HIRED AUTOS <br /> ' J NON-OWNED AUTOS <br /> ! GARAGE LIABILITY <br /> <br /> EXCESS LIABILITY <br />,'~J UMBRELLA FORU <br /> ! O'!HEP T HAI',~ UMBR EL LA ~ 0RI,~ <br /> <br /> WORKERS' COMPENSATION <br /> AND <br /> <br />~YERS' LIABILITY <br /> Liquor <br /> <br />POLICY NUMBER <br /> <br />POLICY EFFECIIVE <br />DATE IlaM/DD/YY) <br /> <br />RECEIVE:,D <br /> <br />POLICY EXPIRATIO~ J <br /> DATE IUU/DD/YY) j <br /> <br />LIABILITY LIMITS IN THOUSANDS <br /> <br />j EACH <br /> OCCURRENCE AGGREGATE <br /> <br />jBODILY <br />INJURY <br /> <br />PROPERTY <br /> <br />PERSONAL INJURY <br /> <br />B &PD I <br />COMBINEDI S <br /> <br />BI & PD <br />COMBINEDI S <br /> <br /> Liabi li ty: LQMN586351 <br /> <br />DESCRIPTION OF OPERATIONS/LOCATI,)NS/V,FHICLES/SPECIAL ITEMS <br /> TAVERIq - LOC: 6937 :NW HIGHWAY 10, RA~MSEY, <br /> <br />, S1 AIUTORY I <br /> <br />(EACh ACCIDENiI <br />(DISEASE-POLICY LIMIit <br />IDISEASE-EACH EMPLOYEE~ <br /> <br /> F!OLICY L]:MZTS FLEET <br />7/01/94 7/01/95 %HE MINIMUM <br /> FIEIm, ITS OF MN STATL~TE <br /> <br />340A. 409. <br /> <br />C]:TY OF RAh'Ic-,=Y <br />gITY HALl_ <br />RAMSE'Y, MN :: ...... = <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br />PIRATION DATE THEREOF. THE {SSUING COMPANY WILL ~'~'-'~_"'~ "-'"~ <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT. ,S-UT F '.L.;LU,'".[ 'TC ;.;/L',L SU'C;', .':CT:Cf'S: :.!.LL ::'.;,~C3~ NO C,.3L:CAT:C:; C,'", L:,:,~:L:T',' <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />