Laserfiche WebLink
��'� WESTA-4 OP ID: EP <br /> '4`�.,.o�R�'w CERTIFICATE OF LIABILITY INSURANCE DATE�MWDD/VYYY) <br /> 03/31/2014 <br /> THIS CERTIFICATE IS ISSUED AS A 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. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certiflcate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsemen s. <br /> PRODUCER NAMEACT Erin Parker <br /> Insurance Advisors,II1C. PNONE Fnx <br /> 15020 27th Avenue N. a No Ex�:763-398-4048 ac No:763-398-4060 <br /> Plymouth,MN 55447 ADDR�ess:e. arker iaimn.com <br /> Jason C Richmond <br /> INSURER S AFFORDING COVERAGE NAIC# <br /> iNsuRea n:West Bend 15350 <br /> INSURED WestAir, Inc. iNsu���a: <br /> 11184 R(v�r'Rd, INSURER C: 4� <br /> Hanover, MN 55341 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 TO 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 /> INSR 7ypE OF INSURANCE A D UB POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ �,OOO,OO � <br /> A X COMMERCIAL GENERAL LIABILITY BCO�84SO1O 04/O1I2014 O4/O1/2015 pREMISES Ea occurrence 3 ZOO,OO <br /> CLAIMS-MADE a OCCUR MED EXP(Any one person) $ �D�QD <br /> PERSONAL 8 ADV INJURY $ �,OOO,OO <br /> GENERALAGGREGATE $ Z,OOO,OO <br /> GEN'L AGGREGATE IIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S Z,OOO,00 <br /> X POLICY PR� LOC $ <br /> AiITOMOBILE W181UTY COMBINED SIN LE I.IMIT ��OOO,OO <br /> Ea accident <br /> A X ANY AUTO BC01848010 04/�1/20�4 04/01/2015 BODILY INJURY(Per person) S <br /> ALL OWNED SCHEpULED BODILV INJURY(Per accide�l) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X AUTOSWNED PER ACCIDENT�GE $ <br /> $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 'I�QOO,OO <br /> A ElfCE88 LIAB ��.AIMS•MADE CU01848012 04101l�014 04f0112015 AGOR�dATE � $ <br /> DED X RETENTION$ O $ <br /> WORKERS COMPENSATION X _WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY — <br /> A ANY PROPRIETOR/PARTNERlEXECUTIVE Y�N C07848011 0410112014 04/01I2015 E.L.EACH ACCIDENT 3 50�,00 <br /> OFFICER/MEMBER EXCLUDED7 � N/A <br /> (AAandatory in NH) E.L.DISEASE-EA EMPLOYEE $ SOO,OO <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SOO,OO <br /> q Voluntary Prop Dam BC01848010 04l07/2014 04/01/2015 Ea Occur 2,50 <br /> $250 Deductible Gen Agg 2,50 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Atlditfonal Remarks Schadule,If more apaca Is requlred) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORONO-- <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Orono ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2750 Kelley Parkway <br /> Orono,MN 55356 AUTHORIZED REPRESENTATIVE <br /> �.. `. `�"w"� <br /> O 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />