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American West <br /> Insurance Company <br /> <br />One Roundwind Road * RO. Box 500, Luveme, Minnel~om 56158-0500 * 1-800-533-0303 FAX (507) Z83-ZZZ1 <br /> <br />COMMERCIAL GEST~:~%.L LIABILITY COVERAGE PART DECLARATIONS <br /> (SINGLE LIMITS) <br /> <br />Policy No. CPP 0082406 - 18 <br />Named Insured and Address <br /> <br /> Vance Florell <br /> DBA The Rib Cage <br /> PO Box 34 <br /> Saint Michael, MN 55376 <br /> <br />Agent Name and Address <br /> (612)295-4900 <br /> <br />639 <br /> <br />M-R Agency <br />139 Sandberg Road <br />PO Box 907 <br />Monticello, MN 55362-0907 <br /> <br />Policy Period: From August 1, 1998 <br />at your address shown below. <br /> <br />tO AUgUSt 1, 1999 <br /> <br />12:01 a.m. Standard Time <br /> <br />LIMITS OF INSURANCE <br /> <br /> General Aggregate Limit <br /> (Other Than Products-Completed Operations) <br /> <br /> Products-Completed Operations <br /> Aggregate Limit <br /> Personal & Advertising Injury Limit <br /> <br /> Each Occurrence Limit <br /> <br /> Fire Damage Limit <br /> <br /> Medical Expense Limit <br /> <br />$ 1,000,000 <br /> <br />$ 1,000,000 <br /> <br />$ 1,000,000 <br /> <br />$ 1,000,000 <br /> <br />$ 50,000 Any One Fire <br /> <br />$ 5,000 Any One Person <br /> <br />Form of Business: <br /> <br />Individual _ Partnership _ <br />Other: <br /> <br />Joint Venture <br /> <br />Location of all Premises You Own, Rent or Occupy: <br /> <br />Loc# 1: Hwy 1-94, Rogers, MN <br /> <br />Endorsements Attached To This Coverage Form: <br /> <br />CG0001 (10-93) CG2146 (10-93), CG2147 (10-93), CG2150 (09-89). <br />CG2605 (10-93) <br />IL0245 <br />IL0003 (06-89) <br />IL0017 (11-85) <br />AWIL48 {08-94) <br />TAIL08 (10-97) <br />AWIL02 (01-86), IL0021 (11-94). <br />AWIL04 (11-89). <br />AWIL15 (04-95). <br />AWI166 (05-94). <br /> <br />_ Corporation <br /> <br />Original Awcz;3 8 (11-S5) <br /> <br /> <br />