Laserfiche WebLink
<br />NJIRF <br /> <br />NORTH DAKOTA INSURANCE RESERVE FUND <br /> <br />P.O. BOX 2258 <br />BISMARCK. ND 58502 <br /> <br />NAMED MEMBER <br /> <br />AGENT <br /> <br />CASS COUNTY <br />MIKE MONTPLAISIR. AUDITOR <br />PO BOX 2806 <br />FARGO, ND 58108 <br /> <br />DAWSON INSURANCE AGENCY INC <br />PO BOX 1958 <br />FARGO ND 58107-1958 <br /> <br />PHONE NUMBER: 701-237-3311 <br /> <br />I <br />I <br />I <br />I <br />I <br />i <br />-1 <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />I <br />CONFIRMATION OF COVERAGE <br /> <br />THIS CONFIRMATION OF COVERAGE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CONFIRMATIOr'-J <br />OF COVERAGE HOLDER. THIS CONFIRMATION OF COVERAGE DOES NOT AMEND. EXTEND. OR ALTER THE COVERAGE AFFORDED THE <br />NAMED MEMBER. <br /> <br />THiS is TO CERTIFY THAT THE MEMORANDUM OF COVERAGE liSTED BELOW HAS BEEN ISSUED TO irlE NAMED MEMBER SHOWN ABOVE. <br /> <br />IF ANY MEMORANDUM OF COVERAGE LISTED BELOW BE CANCELLED DURING' -1E COVERAGE PERIOD. THE NORTH DAKOTA INSURANCE <br />RESERVE FUND WILL PROVIDE THE CONFIRMATION OF COVERAGE HOLDER A : ":!RTY (30) DAY NOTICE OF CANCELLATION. <br /> <br />COVERAGE <br /> <br />MEMORANDUM <br />NUMBER <br /> <br />COVERAGE PERIOD <br />FROM TO <br /> <br />LIMIT OF LIABILITY <br />EACH PERSON EACH OCCURRENCE <br /> <br />LIABILITY <br /> <br />w PREMISES/OPERATIONS <br /> <br />GL 987 19 <br /> <br />08/01/2005 <br /> <br />08/01/2006 <br /> <br />$2.000.000.00 <br /> <br />$2.000.00000 <br /> <br />D GOVERNANCE <br /> <br />DESCRIPTIONS OF OPERATIONS. LOCATIONS. AUTOS. OR SPECIAL ITEMS' <br /> <br />I <br /> <br />I <br />---------i <br />I <br />i <br />I <br />$2,000.00000 I <br />I <br />i <br />I <br />I <br />I <br />I <br />.~~ <br />I <br />.------1 <br />I <br />I <br />! <br /> <br />D PROFESSIONAL SERVICES <br /> <br />AUTOMOBILE LIABILITY <br /> <br />W ANY AUTO <br /> <br />BA 432 19 <br /> <br />08/01/2005 <br /> <br />08/01/2006 <br /> <br />$2.000.000.00 <br /> <br />D ALL OWNED AUTOS <br /> <br />W HIRED & NONOWNED AUTOS <br /> <br />D DESCRIBED AUTOS <br /> <br />D OTHER COVERAGE <br /> <br />AUTHORIZED REPRESENTATivE <br /> <br />ISSUE DATE <br /> <br />I <br />! <br />I <br />-~ <br />I <br />I <br />I <br />, <br />-----i <br />~ <br /> <br />CONFIRMATION OF COVERAGE HOLDER <br />STATE OF NORTH DAKOTA <br />ND DEPARTMENT OF TRANSPORTATION <br />608 EAST BOULEVARD AVENUE <br />BISMARCK. ND 58505-0700 <br />ATTN: [lAWN OLSON. TRAFFIC SAFETY MGR <br /> <br />"i <br /> <br />~~ <br /> <br />12/06/2005 <br /> <br />IL 60 01 01 2005 <br />