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I <br /> I <br /> I <br />I <br /> <br /> A C 0 R D I M SURAMCE <br /> <br /> THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUB3ECT TO THE lERHS AND CONDITIONS IN CURRENT USE BY lHE COMPANY. <br /> <br />P~OOUCER ICO~PANY Oper. ID 03 IBINOER NO. <br /> ~ STATE SURETY COmPaNY <br /> CENTRAL INSURANCE AGENCY , , 93234 <br /> COLONIAL HALL, BOX 400 IEFFECTIVE 12:01A~ 07/01/90 <br /> ST. HICHAEL MN 55376- IEXPIRES EX] 12:01AH [ ) NOON 07/31/90 <br /> I[ ] lhis binder is issued to extend coverage in the above named company <br /> CODE 040-03813 SUB-CODE ', per expiring policy i <br /> <br /> ! <br />m )DESCRIPTION OF OPERATION/VEHICLES/PROPERTY(INCLUDING LOCATION) <br /> i INSURED ~ FIOELIIY BOND <br /> , Ramse7 Lions Club , <br /> ~ P.O. Box 771 <br />mI Ramse¥ HN 55303 ' <br /> I <br /> ~ ATTN: Jerry Hamlet i <br /> ',C OVERA ~ E S ............................................... ALL <br /> <br />m <br />m <br />m <br />m <br /> <br />TYPE OF INSURANCE <br /> <br />COVERAGES/FORHS <br /> <br />LIABILITY LIHITS IN THOUSANDS ............................ <br /> <br />PROPERTY CAUSES OF LOSS <br /> II BASIC c I BROAD c I SPECIAL <br /> L,I <br /> <br />AHOUNI <br /> <br />DEDUCTIBLE <br /> <br />COINS <br /> <br />GENERAL LIABILITY ~, <br />[ ] COHNERCIAL GENERAL LIABILITY ', <br />[)[ ] CLAIMS MADE [ ] OCCURRENCE l <br />[ ]~OWNER'S & CONTRACTORS PROTECTIVE ,' <br />EX] GANBLING NANAGER BONO IRETRO DATE FOR CLAIHS MADE <br /> <br />IGENERAL AGGREGATE <br />)PRODUCTS-CO~P/OPS AGGREGATE <br />)PERSONAL & ADVERTISING IN)URY <br />IEACH OCCURRENCE <br />~FIRE DANAGE (ANY ONE FIRE) <br /> <br />$25 <br /> <br />m,[] I / / :HEDICAL EXPENSE(ANY ONE PERSON) <br /> <br />m <br />m <br />m <br />m <br />m <br />m <br />m <br />m <br /> <br />AUTOMOBILE [] LIABILITY <br /> II NON/OWNED <br /> [) HIRED <br /> [] GARAGE <br /> <br />[] ALL VEHICLES <br />[ ] SCHEDULED VEHICLES <br /> <br />--ICSL <br /> IBI PERS/ACCID <br /> )Po <br /> INED. PAY <br /> IPIP <br /> <br />AUTO PHYSICAL DAHAGE I [] ALL VEHICLES I [] ACV <br />[]COLLISION DED: []OTC DED: I [] SCHEDULED VEHICLES I [] STATED A~OUNT []OTHER <br /> <br /> ' )EACH OCCURRENCE <br />IEXCESS LIABILITY , <br /> [ ] U~BRELLA FORH )RETRO DATE FOR CLAIHS NADE )AGGREGAIE <br /> [ ] OTHER THAN UHBRELLA FORH '~ ISELF-INSURED RETENTION <br />...................................................................... StatutoTy .................................................. <br />.WORKER'S COHPENSATION & EMPLOYERS' LIABILITY ' EA ACCIDENT DISEASE-POLICY LHT DISEASE-LA EMPLOYEE <br /> <br />SPECIAL CONDITIONS/RESTRICTIONS/OTHER COVERAGES <br /> <br />',NAXE AND ADDRESS .................................................................................................. <br /> ',LOAN HU)~BER <br /> <br /> ] =================================== <br /> ACORD 75-S (ll/O$)=======================================================================~e~ <br /> <br /> <br />