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A C 0 R D I N <br /> THIS BINDER <br /> <br />IPRODUCER ICOMPANY Oper, ID 03 IBINDER NO. <br /> CENTRAL INSURANCE AGENCY ! STATE SURETY COMPANY ! 93351 <br /> COLONIAL MALL, BOX 400 IEFFECTIVE 12:01 AM 07/01,/91 <br /> ST, HICHAEL MN 55376- IEXPIRES IX) 12:01AM [) NOON 07/31/9! <br /> :[ ] This binder is issued to extend coverage in the above named company <br /> CODE 040-03813 SUB-CODE <br /> <br /> INSURED DESCRIPTION OF OPERATION/VEHICLES/PROPERTY(INCLUDING LOCATION) <br /> Ramsey Lions Club FIDELITY BOND-TAX BOND <br /> P.O, Box <br /> Ramsey MN 55303 <br /> ATTN: Jerry Hamtet <br /> 0 V E R A G E $ ............................................... ALL LIABILITY LIMITS IN THOUSANDS ........................... <br /> <br />TYPE OF INSURANCE <br /> <br />PROPERTY CAUSES OF LOSS <br /> [ 1 BASIC [ ] BROAD [ 1 SPECIAL <br /> <br />IAMOUNT <br /> <br />IDEDUCTIBLE <br /> <br />COINS <br /> <br /> GENERAL LIABILITY : IGENERAL AGGREGAlE $15 ~ <br /> [] COMMERCIAL GENERAL LIABILITY I IPRODUCTS-COMP/OPS AGGREGATE <br /> [][ ] CLAIMS MADE [ ] OCCURRENCE I IPERSONAL & ADVERTISING IN3URY <br /> [ 1 OWNER'S & CONTRACTORS PROTECTIVE ' IEACH OCCURRENCE <br /> IX) STATE TAX BOND IRETRO DATE FOR CLAIMS MADE IFIRE DAMAGE (ANY ONE FIRE) ~ <br /> [] I / / IMEDICAL EXPENSE(ANY ONE PERSON) <br /> <br />IAUTOMOBILE I[] ALL VEHICLES ICSL <br />[] LIABILITY II ] SCHEDULED VEHICLES IBI PERS/ACCID ~ <br />[ ] NON/OWNED ' ~PD <br />[] HIRED : IMED, PAY <br />r 1 GARAGE ' ~PtP <br /> <br />i~UTO PMYSICAL DAMAGE I[] ALL VEHICLES ' [] ACV : <br />~ [)COLLISION DED: [)OTC DED: I[) SCHEDULED VEHICLES I [] STATED AHOUNT []OTHER ~ <br /> <br />!EXCESS LIABILITY ' IEACH OCCURRENCE <br />' r i UMBRELLA FORM !RETRO DATE FOR CLAIHS MADE IAGGREGATE <br />' f I OTHER THAN UMBRELLA FORM ' / / ISELF-INSURED RETENTION <br />'- ..................................................................... Statutory .................................................. <br />IWORKER'S COMPENSATION & EHPLOYERS' LIABILITY I EA ACCIDENT DISEASE-POLICY LHT DISEASE-EA EMPLOYEE <br /> <br />ISPECIAL CONDITIONS/RESTRICTIONS/OTHER COVERAGES <br /> <br />I, NAME AND ADDRESS .................................................................................................. <br /> ',LOAN NUMBER <br /> <br /> r!H~.~m~[ !LOSS PAYEE ! ]ADDL INS [ 1MORT []LOSS PAYEE I ]ADDL INS i ~mmm', ~'~, ~.~~ <br />!ACORD 75-5 { ! ! 185 ):====:==:== ..... :::==:=::::::=::==:::======:=====:===::======== ....... -~:::::::::::::::::::::::::::::::: ........ ~: <br /> <br />! <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> I <br /> <br /> I <br /> <br /> I <br />Ii <br /> I <br /> I <br /> I <br /> <br /> <br />