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Wilson Mutual �Wilson Mutu�1 P.O.BOX 1028 SHEBOYGAN,WI 53082-1028 920-458-3359 1-800-242-7708 Q�`r���� f� �„ JAN � � ��13 Following Policy Set for: ����C���� THE CITY OF SAINT PAUL ITS OFF ATTN: RISK MANAGEMENT 310 CITY HALL 15 WEST KELLOGG � BLVD � SAIN PAUL, MN 55102 4 . , � . - . �oa:_:_ _ � . . . __.- "__.—'�.� _ __- � - - .�_._._�_-_. ". . _ _ .. __. „<� ��..—� -. _. . _ -,�-.-��-'�C-�'�r.. ��-_ �.: . . .. . ' _ _ _' �___ ._ . t', Y ��'i � � �: � J� ^ � �� � � �f�� ���� �� , �' E - }� �� s1 b �� �:- ; � � ^r � � ����� �"����� �� . I ' THE CITY OF SAINT PAUL ITS OFF ATTN: RISK MANAGEMENT 310 CITY HALL 15 WEST KELLOGG BLVD SAIN PAUL, MN 55102 BR247211 _ - . ,. . _... � _-� , .,�__.,�-�._,.�,,�.-_--.�...._�� •�..�..,.,�: ` - _ `� -�s.. ,I � I � DECLARATIONS PAGE . WMBPMN(07/11) Wilson Mutual BUSINESSOWNERS P.O.BOX 1028 SHEBOYGAN,WI 53082-1028 MINNESOTA 920-458-3359 1-800-242-7708 NEW BUSINESS DECLARATIONS Direct Bill EFFECTIVE 01/04/2013 P(N.IGY NIN�IL3ER FA�A POIICY pER10D Tp :i. . . '> ; . .; ;,'�dC��+�9'�; ' BR247211 01/04/2013 ; 01/04/2014 ; 12:01 AM STANDARD TIME 1618 � __ _.______ ____ ___._ MAIL 70 ;,.- � ' AG�NT -.,; ,, . . . . SLIDER SYSTEMS LLC KAPLAN INSURANCE AGENCY 5369 BISHOP AVE 3500 VICKSBURG LANE STE 404 INVER GROVE HEIGHTS, MN 55076 PLYMOUTH, MN 55447 (�ss)�as-s000 h. NAME 1NSURE�S . , SLIDER SYSTEMS LLC SLIDER SYSTEMS LLC DBA SLIDER SQUAD THE NAMED INSURED IS LLC ----------------------------------------------------------------------------------------------------- COVERAGES ---------------- THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS/POLICIES FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. COVERAGE PART/POLICY ATTACHED PREMIUM ---------------------------------------- COMMERCIALBUSINESSOWNERS . • . . . . • . . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • $1,205.00 �..CERTtFIED ACTS OF TERRORISM C01CF�3E,D . , . . .-...__. . . . ... .... ..._. . . ._ ,-_--.-. . . . . . . . . . ----$0-DO _ � ADVANCE PREMIUM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ----$1,205.00 ------------------------------------------------i--------------------------------------------------- ADDITIONAURETURN PREMIUM. . . . . . . . . . . . . . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . ---------------------------------------------------------------------------------------------------- COMMON FORMS THAT APPLY TO ALL COVERAGE P TS NUMBER EDITION DESCRIPTION LOC BLDG ITEM LIMIT PREMIUM ------------------------------------------------ ---------------------------------------------------- MNPNPP 07-11 Policyholder Notice- Privacy Poli y PN-MGAN 12-12 Policyholder Notice-Guaranty As ociation BFWM 01/06 Exclusion-Blast Faxing Violations BP 0325 01 04 Sprinkler Leakage Earthquake Extension BP 0331 01 04 Protective Devices AUTOMATIC FIRE EXTINGUISHING SYSTEM BP 0336 01 04 Premium Payments BP 0351 WM 0210 Supplementary Coverage Endorsement BP 0360 07 03 Limited Fungus& Related Perils Coverage BP 0436 01/04 Amendatory Endorsement-Minnesota BP 0676 01 04 Exclusion-Fungus or Related Perils BP 0724 01 04 Cross Liability Exclusion BP 0734 01 04 Lead Liability Exclusion BP 0736 01/04 Exclusion-Abuse or Molestation , BP 0750 01/08 Certified Terrorism Loss , BP 0840 10/05 Telephone Consumer Protection Act of 1991 'I BP 0841 10/05 Add'I Insured- Designated Person or Org � BP 0844 10/05 Coverage C-Loss of Income NONASSESSABLE POLICY Interest Copy 01/10/2013 PAGE 1 OF 6 DECLARATIONS PAGE WMBPMN(07/11) Wilson Mutual BUSINESSOWNERS P.O.BOX 1028 SHEBOYGAN,WI 53082-1028 MINNESOTA 920-458-3359 1-800.242-7708 NEW BUSINESS DECLARATIONS Direct Bill EFFECTIVE 01/04/2013 ., ,.�m ��, POLICYNUI�ER. FRCNd�` �'OUCYPEI}IOD Tp �e;�:l . AG�N'1`Vi� BR247211 01/04/2013 i 01/04/2014 ; 12:01 AM STANDARD TIME ; 1618 �I�lL'�'{9', ;;.AGEtd�,— - SLIDER SYSTEMS LLC KAPLAN INSURANCE AGENCY 5369 BISHOP AVE 3500 VICKSBURG LANE STE 404 INVER GROVE HEIGHTS, MN 55076 PLYMOUTH, MN 55447 (763)746-5000 COMMON FORMS THAT APPLY TO ALL COVERAGE PARTS NUMBER EDITION DESCRIPTION LOC BLDG ITEM LIMIT PREMIUM ----------------------------------------------------------------------------------------------------- BP-002 8-96 Exclusion-Athletic or Sports Participants BP-337 1.0 Calendar Date or Time Failure Exclusion CL 0605 01/08 Certified Terrorism Loss Disclosure GL-894 2.0 Punitive Damages Exclusion IL-7017WM 07/03 Asbestos Exclusion OPPFC WM 01/98 Off-Premises Power Failure Coverage SBWM 04-09 Security Breach Expense Coverage SWM 01/06 Silica or Silica-Related Dust Exclusion -8P 02E3A _ 01 04 Businessowners�pecial�o{ic�r -. , . , _. -�..__�._�- 1 1 - _=:�-, . BP 0304 01 04 Money and Securities Coverage 1 1 1 BP 0322 02 04 Computer Coverage 1 1 1 BP 0330 01 04 Water Damage Cov- Back Up of Sewers 1 1 1 BP 0650 03/04 Equipment Breakdown 1 1 1 BP 0663 12 99 Known Injury or Damage Amendments 1 1 1 BP-311 1.0 Weather Limitations 1 1 1 ----------------------------------------------------------------------------------------------------- THIS REPLACES ALL PREVIOUSLY ISSUED POLICY DECLARATIONS, IF ANY. THIS POLICY APPLIES ONLY TO ACCIDENTS, OCCURRENCES,OR LOSSES WHICH HAPPEN DURING THE POLICY PERIOD SHOWN ABOVE. NONASSESSABLE POLICY Interest Copy 01/10/2013 PAGE 2 OF 6 DECLARATIONS PAGE . WMBPMN(07N1) Wiison Mutual BUSINESSOWNERS P.O.BOX 1028 SHEBOYGAN,WI 53082-1028 MINNESOTA 920-458-3359 1-800-242-7708 NEW BUSINESS DECLARATIONS Direct Bill EFFECTIVE 01/04/2013 POLICY PERtpO ��.,,�'` ��� �;� � � _ �„ P�CiGY NUA�iEA �FAOM TO� � � �. � � �� � �� � � AL3�N't! =` BR247211 01/04/2013 01/04/2014 12:01 AM STANDARD TIME i 1618 ��AAILTD ____ __.__ -- - ` 'AGEtV"� - --- � SLIDER SYSTEMS LLC KAPLAN INSURANCE AGENCY 5369 BISHOP AVE 3500 VICKSBURG LANE STE 404 INVER GROVE HEIGHTS, MN 55076 PLYMOUTH, MN 55447 (763)746-5000 ADDITIONAL INTEREST(S) # ------INTEREST---------- ------NAMEANDADDRESS------------- ----LOANNUMBER----- ----------------------------- --------------------------------------- ----------------------- 1 Doing Business As SLIDER SQUAD 5639 BISHOP AVE INVER GROVE HEIGHTS, MN 55076 2 Additional Insured RED BULL NORTH AMERICA INC ITS PARENT RELATED AND AFFILIATED CO: ATTN: RISK MANAGEMENT t740 S�W�RT STREET --- --- _ -- - SANTA MONICA, CA 90404 3 Additional Insured HANGMAN PRODUCTIONS USA INC ITS PARENT RELATED AND AFFILIATED:ATTN: ELISE GAYLIE 4500 4TH AVENUE S SEATTLE,WA 98134 4 Additional Insured THE CITY OF SAINT PAUL ITS OFF ATTN: RISK MANAGEMENT 310 CITY HALL 15 WEST KELLOGG BLVD SAIN PAUL, MN 55102 5 Additional Insured THE ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS ITS OFFICIALS AGENTS AND EMPLOYEES 226 SUMMIT AVENUE SAINT PAUL, MN 5102 6 Additional Insured BB BURGER VEN URES DBA 652 BURGERS AND B EW 5639 BISHOP AV INVER GROVE H IGHTS, MN 55076 LOCATION ADDRESS(ES) i � � i � NONASSESSABLE POLICY Interest Copy ' 01/10/2013 PAGE 3 OF 6 DECLARATIONS PAGE WMBPMN(07/11) Wilson Mutual BUSINESSOWNERS P.O.BOX 1028 SHEBOYGAN,WI 53082-1028 MINNESOTA 920-458-3359 1-800-242-7708 NEW BUSINESS DECLARATIONS Direct Bill EFFECTIVE 01/04/2013 s P('1�ICY�lUM6ER FROM ROIIGY PERIOD .q�;.`. ..''� � , AGQJ'T It BR247211 01/04/2013 ; 01/04/2014 ; 12:01 AM STANDARD TIME 1618 � ..W_.�_. ' ___.—, -----__. `°�ILTC3 -j AGEtd�'- �'� SLIDER SYSTEMS LLC KAPLAN INSURANCE AGENCY 5369 BISHOP AVE 3500 VICKSBURG LANE STE 404 INVER GROVE HEIGHTS, MN 55076 PLYMOUTH, MN 55447 (763)746-5000 LOCATION ADDRESS(ES) -------------------------------- LOCATION 1 5369 BISHOP AVE INVER GROVE HEIGHTS, MN 55076 LOCATION 2 829 CONWAY ST PAUL, MN 55106 BLANKET SUMMARY -------------------------------- Limit-1 Limit-2 LOCATION 0 ' � Blanket Building None Blanket Contents None NONASSESSABLE POLICY Interest Copy 01/10/2013 PAGE 4 OF 6 DECLARATIONS PAGE . WMBPMN(07/11) W�Ison Mutual BUSINESSOWNERS P.O.BOX 1028 SHEBOYGAN,WI 53082-1028 MINNESOTA 920-458-3359 1-800-242-7708 NEW BUSINESS DECLARATIONS Direct Bill EFFECTIVE 01/04/2013 POUCY NUMBER fpOi�A POL�CY PEIf110D TO �i`.�M � , � ; , ; �,,_ �i BR247211 01/04/2013 01/04/2014 ; 12:01 AM STANDARD TIME 1618 �uIAILTO�__ __..�_ _ - �"'AGENT, ___ -- _ SLIDER SYSTEMS LLC KAPLAN INSURANCE AGENCY 5369 BISHOP AVE 3500 VICKSBURG LANE STE 404 INVER GROVE HEIGHTS, MN 55076 PLYMOUTH, MN 55447 (�ss)�as-5000 **LIABILITY INSURANCE LIMITS** LIMITS DEDUCT PREMIUM ------------------------------------------------ ------------- ------------- ------------- Commercial Liabiliry—Per Occurrence $2,000,000 Included Other Than Products/Completed Work General Aggregate Limit $4,000,000 Included Products/Completed Work Aggregate Limit $4,000,000 Included Medical Payments—Per Person $5,000 Included Fire Legal Liability—Per Occurrence $500,000 Included °� � � i ! ! NONASSESSABLE POLICY Interest Copy 01/10/2013 PAGE 5 OF 6 I� DECLARATIONS PAGE �Wilson Mutual BUSINESSOWNERS WMBPMN(07M1) P.O.BOX 1028 SHEBOYGAN,WI 53082-1028 MINNESOTA 920-458-3359 1-800-242-7708 NEW BUSINESS DECLARATIONS Direct Biil EFFECTIVE 01/04/2013 POLICY NUMBER FROM POLICY PEFiIOD T9' AGEN7 01 BR247211 01/04/2013 ; 01/04/2014 ; 12:01 AM STANDARD TIME ; 1618 ._.____�.____ _W._._..._._—. � _ _�__�__ _ ____ .�AAILTO. ; AGEN�' SLIDER SYSTEMS LLC KAPLAN INSURANCE AGENCY 5369 BISHOP AVE 3500 VICKSBURG LANE STE 404 INVER GROVE HEIGHTS, MN 55076 PLYMOUTH, MN 55447 (763)746-5000 LOC BLDG ITEM TERR CLASS CLASS DESCRIPTION 1 1 1 0010 50000 Restaurant ADDITIONAL INTERESTS THAT APPLY: Additional Insured: 02 03 04 05 06 **PROPERTY COVERAGES** LIMITS DEDUCT PREMIUM ------------------------------------------------ ------------- ------------- ------------- Business Personal Property/ Replacement Cost $5,000 $1,000 $1,205.00 Automatic Annual Increase: 4% Included Equipment Breakdown $5,000 Included **OPTIONAL COVERAGES PER LOCATION** LIMITS DEDUCT PREMIUM ------------------------------------------------ ------------- ------------- ------------- Outside Signs—Per Occurrence $20,000 $250 Included Employee Dishonesty $20,000 $250 Included Accounts Receivable Coverage $20,000 Included Valuable Papers and Records Coverage $20,000 $1,000 Included Water Damage Coverage $2,500 $1,000 Included Spoilage Coverage $20,000 $1,000 Included Money and Securities—Inside Premises $5,000 $250 Included —Outside Premises $5,000 $250 Included Loss of Income --Actual Loss Sustained Included ----------------- Total Advance Premium—Commercial Businessowners: $1,205.00 -------------- -------------- IN WITNESS WHEREOF,THE COMPANY HAS EXECUTED AND ATTESTED THIS POLICY. t...do..,. .0 ` l�--lC._.� � � � PRESIDENT SECRETARY NONASSESSABLE POLICY Interest Copy 01/10/2013 PAGE 6 OF 6 i s � Ut O O t