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<br /> PRODUCER }`iS6,.,, a?•.•.^.;• ,r.:$:•:.,c}S:f{�?{'t:<tS:;.:::::}:::::
<br /> : THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
<br /> Osborne InsuranC@ CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TH
<br /> 1935 Aes t Burnsville Parkway POLkIEs BELOW.
<br /> ................................... .................................................................... . .. . .
<br /> Burnsville, MN 55337 COMPANIES AFFORDING COVERAGE
<br /> (612) 890-0414 FAX 890-0535
<br /> ... ..............................................................................
<br /> ............................................................
<br /> ca�IPArr ....
<br /> LETTER A Transcontinental Ins. Co.
<br /> ......................................................................................................................................
<br /> ........................ ...
<br /> ................................................................................................................................. � B Transportation Ins. Co.
<br /> INSURED
<br /> ...0 .........................................................................................
<br /> .........................................................
<br /> &B S ee metal & Roofing, Inc. o►wurrLimC United States Fire Ins. Co.
<br /> 210 Centennial Drive
<br /> Buffalo, MN 55313 ................................................................................................................................................
<br /> COMPANY
<br /> LETTER
<br /> ....................................................................................................................................................................
<br /> COMPANY E
<br /> LETTER
<br /> }• "
<br /> <:CQVE..AGES.
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<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT ETO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> ... ...........................................................................
<br /> LTR: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE :POLICY EXPIRATION
<br /> DATE PA40WM DATE(MMIDONY) LMRTS
<br /> .......................................................................................................'............ ... .
<br /> A:GENERAL UABtLTTY GENERAL AGGREGATE S 2,000,0 C
<br /> % COMMERCIAL GENERA!LIABILITY 113705209 PRODUCTS-COMP/OP AGG. i 1,000,0
<br /> .........
<br /> ;. ,
<br /> cLAuws MADE ` % ::OCCUR.
<br /> xx :05/01/94 ' 05/01/95 PERSONAL ADV.INJURY = 1,boo, 0 C
<br /> 6
<br /> OWNERS&CONTRACTORS PMT.
<br /> EACH OCCURRENCE :t 1
<br /> ..........................................................f.........0,0 C
<br /> % €Gen.A Pro . F DAMAGE(Any pe�.) S 50,0 C
<br /> ........: .. ..............ggL............]..... ...
<br /> MED.EXPENSE(Any on poison)::3 510 C
<br /> .................................................................................................
<br /> AUT... LIABILITY COMBINED SINGLE
<br /> B: % :AN AUTO 113695572 LIMIT :S 1,000,0 C
<br /> ALL OWNED Auros
<br /> .........................
<br /> :05/01/94 0 5/0 1/9 5:BODILY wuRv
<br /> SCHEDULED AUTOS .r :S-------- —
<br /> (P Tenon)
<br /> %..i HIRED AUTOS ................................................ ..................................
<br /> BODILY INJURY
<br /> % ;NON OWNED AUTOS (PN.0-ono :5--------
<br /> GARAGE LABL1TY
<br /> ............................................... ...................................
<br /> { PROPERTY DAMAGE
<br /> .........:.......... ........................................:..........
<br /> EXCESS LIABILITY
<br /> fi�dl OCaJ _ fICE ............ ........................
<br /> 0
<br /> C % 'UMBRELLA FORM 553.012434-9 ::05/01/94 0 5/ 0 1/9 5 AGGREGATE : 1,00010{ C
<br /> .........{ .......................y....-...., ............. .........
<br /> OTHER THAN UMBRELLA FORM
<br /> WORKER S COMPENSATION % STATUTORY LIMITS
<br /> AND :05/01/94 05/ O1/95 EACHACaooNr -_. .........1
<br /> 113695586 00,OOC
<br /> B
<br /> EMPLOYERS•LIABILflYDISEASE.POLICY LIMB s 500,O O C
<br /> DSS EACHYEE S 10 0,O O C
<br /> ETHER
<br /> ......:.......................................
<br /> DESCRIPTION OF OPERATIONS/LOCAMONSIYEHICLES/SPECWL no r
<br /> Certificate Holder and AMBE, Ltd; are additional insureds un " -the
<br /> General Liability regarding: Camp Teko, Lake Minnetonka, MN �.
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<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
<br /> MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br /> Temple Israel � LEFT, BUT FAILURE TO VAIL SUCH NOTICE SHALL11e1pCSE No OBLIGATION OR
<br /> LIABILITY OF ANY UPON THE WOPANY. ITS AGENTS OR REPRESENTATIVES.
<br /> 2324 Emerson Avenue South"
<br /> :.:{AUTfWR�D R V f .!
<br /> Minneapolis, MN 55405 k•{..
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