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/r. <br /> 1 <br /> 4C ROS CERTIFICATE OF LIABILITY INSURANCEwas " <br /> 01/17/2022 <br /> THIS CWIT HCATE IS ISSUED ABA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW THS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING UtSURER(8),AUTHOR® <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> MIPORTANT: lithe=Mate bolder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED Provisions lir be endorse <br /> IT SUBROGATION IS WAIVED,subject to Me terms and conditions addle policy,commn policies may rmpdre an endoisentenL A statement on <br /> this=Mate does not confer rights to the certIficate holder Mau of such ends d(s). <br /> PRODUCER ger Man SchmittINSURE FOIRDMRD �ptt <br /> Nam Drive NW 7y% (318)781-2330 1 laNek (701)982 3042 <br /> 700 Paul DISUREFESHUVORINNOCOVERAGE NAM 0 <br /> Bemidji MN 88801 _ mom A, Annuls Casualty Company ICC 10671 <br /> INSURED <br /> tea: <br /> Fait=Enterputsss LLC,DBA:Banks Mexican Bar&0101 ORYRER C: <br /> 31084 Font St <br /> INSURER <br /> MOM <br /> Pequot Lakes MN 88472 mamma F: <br /> COVERAGES CERTIFICATE NUMBER: Pequct Master REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED.=WITHSTANDING ANY REQUIREMENT.TIMM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICES DESCRIBE)HEREIN B SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 4" MEI OFINSURANCE 1 � I POLICY N1alBERL'i�1L. i i 1iiii IROIh <br /> COMMA&OENERIU.LNBLLITY <br /> III <br /> III■ OuAPOToLIAsCS:LLIR EA <br /> ❑TLIAaMnLAJOIY AAOCCRO <br /> AAWON ONLY AUTOS <br /> SCHEMED <br /> DAMAGE TO REPHED <br /> AUtOS ONLY UInt EACH OCCURRENCE <br /> P <br /> 0egn61a <br /> H1 <br /> MED 0'(Nnono moon) <br /> PERSONAL NADV%WRY <br /> GHIRALAATB <br /> PRODUCTS-cobiloom <br /> G <br /> F..11,:i r$,SINGLE IMT <br /> BODILY INJURY(Perboson) <br /> BODILY INJURY(Permidst* <br /> twe <br /> FE UMBRELLALIAB • OCCUR EACH OCCURRENCE $ <br /> II LIAR • CLAISI&MACE AA6GREOATETE $ <br /> • 8 DEO RETENTION <br /> aL1171ne I I ER $ <br /> AND BIE•LDYEJB'LIA®J1Y YIN <br /> A ANYIS <br /> Yti mWC19848 0210112022 02/01/2023 ELEACHAC IDEJT e <br /> 500.000 <br /> roCICRdeoCERigmlialEd.•,�=,- -+=-EABwuDYnal a 800.000 <br /> AWNOF balm EL.wawa-sem Lamy $ SAM <br /> A LL110714 02/01/022 , 02 Each Common Case 51.000.000 <br /> NOFOPERATmIIB/LOCATIONS IVEHICLES(ACORD 101,MOWN Sole,mg bo offoobtd If moo space Is <br /> RE: Fades Enterprises LLC dba Ba jos Mexican Bar 8 GM.31094 Front SI,Pequot Lakes,MN. <br /> Liquor MEW coverage Is continuous until cancelled. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WLL BE DELIVERED IN <br /> City of Pequot Lakes ACCORDANCE WITH THE POUCY PROVISIONS. <br /> 4638 Main Street <br /> AUTKOREED RFARESEND IME <br /> Pequot Lakes MN 68472 <br /> I <br /> 01E882015 ACORD CORPORATION.All rights reserved. <br /> ACORD 28(2010 The ACORD lame end logo are rogisteted malls of ACORD <br />