2000-05-12 Commercial General Liability Insurance
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1900 SOWH 18TH A VENUE. WEST BEND, WI 53095
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POLICY NUMBER: CPO 0314201 00
NEW BUSINESS
CUSTOME4liO. 0110099964
R 120
COMMERCIAL GENERAL LIABILITY ADDITIONAL INTEREST
CITY OF ALBERTVILLE
5975 MAIN AVE, NE, PO BOX 9
ALBERTVILLE, MN 55301
FORM WB1450
APPLIES
ALL OTHERS-NOC
ADDITIONAL INSURED
INSURED: LEUER-MUNSTERTEIGER
PROPERTIES, INC
100 E CENTRAL PO BOX 340
ST MICHAEL, MN 553/6
AGENCY: ZACHMAN INSURANCE AGENCY INC
22-565
POLICY PERIOD FROM: MAY 08, 2000 TO: MAY 08, 2001
ISSUED 05/12/00
ADDL INTEREST COpy
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
. ADDITIONAL INSURED - NOT OTHERWISE CLASSIFIED
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This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESSOWNERS LIABILITY COVERAGE FORM
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL UMBRELLA LIABILITY COVERAGE PART
GARAGE COVERAGE FORM
SCHEDULE
Name of Person or Organization (Additional Insured):
WHO IS AN INSURED is amended to include as an
insured the person or organization shown in the
Schedule as an additional insured, but only with re-
spect to liability incurred solely as a result of some
act or omission of the named insured.
It is further understood and agreed that the desig-
nation of the entity named as an additional insured
does not increase or alter the limit of liability, nor
the scope of coverage of this policy.
The coverage granted to the additional insured un-
der this endorsement shall be excess over any other
valid and co;;ectible ~nsurai1ce, ~vhether contingsnt,
excess or primary.
This endorsement provides no coverage to the ad-
ditional'insured for its liability arising out of the
claimed negligence, statutory liability or fault of the
additional insured.
As a condition of coverage, the additional insured
shall be obligated to tender the defense and indem-
nity of every claim or suit to all other insurers that
may provide coverage to the additional insured,
whether on a contingent, excess or primary basis.
(If no entry appears above, information required to complete this endorsement will be shown in the Declara-
tions as applicable to this endorsement.)
WB 1450 10 98
West Bend Mutual Insurance Company
West Bend, Wisconsin 53095