Laserfiche WebLink
<br />COMMERCIAL LIABILITY DECLARATIONS <br /> <br />INSURED COPY <br /> <br />" <br />9'1' F <br /> <br />POLICY NUMBER: CG66200 <br />REVISION EFFECTIVE: 12/01/06 <br />POLICY PERIOD: 1/01/07 TO 1/01/08 <br /> <br />~ <br /> <br />NORTH STAR MUTUAL <br />INSURANCE COMPANY <br />BOX 48 COTTONWOOD, MINNESOTA 56229-0048 <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />LIMITS OF INSURANCE: <br /> <br />PERSONAL AND ADVERTISING INJURY LIMIT <br /> <br />$2,000,000 <br />$ - 0 - <br />$1,000,000 <br />$1,000,000 <br />$ 100,000 <br />$ 5,000 <br /> <br />GENERAL AGGREGATE LIMIT . . . . . . . . . <br /> <br />PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT . <br /> <br />EACH OCCURRENCE LIMIT . . . <br />FIRE DAMAGE LIMIT (ANY ONE FIRE) . <br />MEDICAL EXPENSE LIMIT (ANY ONE PERSON) . <br /> <br />FORM OF BUSINESS: INDIVIDUAL <br /> <br />LOCATION OF ALL PREMISES YOU OWN, RENT OR OCCUpy AND BUSINESS DESCRIPTION: <br /> <br />LOC. 03 246A SEC 13-137-49 CASS co, HICKSON ND, FARMLAND <br />LOC. 04 128A SEC 25-138-55 CASS co, ALICE ND, FARMLAND <br />LOC. 05 110A SEC 36-138-55 CASS co, ALICE ND, FARMLAND <br />LOC. 08 4A SEC 23-143-49 CASS co, CASS ND, FARMLAND <br />LOC. 09 28A SEC 25-143-49 CASS CO GARDNER ND, FARMLAND <br />LOC. 10 320A SEC 19-147-49, TRAIL CO ND, FARMLAND <br />LOC. 11 320A SEC 4-141-49 CASS CO ND ARGUSVILLE ND, FARMLAND <br />LOC. 14 160A SEC 23-143-49 CASS CO ND, FARMLAND <br />LOC. 15 80A SEC 23-143-49 CASS CO ND, FARMLAND <br /> <br />CLASSIFICATION: <br /> <br />CODE PREMIUM <br />NO. BASE <br /> <br />ADVANCE PREMIUM <br />PR/CO ALL OTHER <br /> <br />FARM LIAB INCL COMP OPS FARM RESID 75251 <br />INCL ACREAGE (501-2000 ACRES)* <br /> <br />EMPLOYERS LIAB 40 DAYS OR LESS 76750 <br /> <br />1 <br /> <br />$ 150.00 <br /> <br />1 <br /> <br />$ 23 . 00 <br /> <br />CHANGE/RESTRICTION ENDORSEMENT <br /> <br />* THIS CLASSIFICATION INCLUDES PRODUCTS/COMPLETED OPERATIONS UNDER GENERAL <br />AGGREGATE LIMIT. <br /> <br />PROCESS DATE: 12/12/06 <br /> <br />24 <br />