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���'� WESTA•4 AP ID:PB <br /> '4�Ra� CER7IFICATE OF LIABILITY INSURANCE DATE(MM�D�YYW) <br /> 03/23l2015 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C�NFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND �R ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S}, AUTH�RIZED <br /> REPRESENTRTIVE OR PRODUCER,AND THE CER77FICATE HOLDER. <br /> IMPORTANT: If the cortiflcate holder Is an ADDITIONAL INSURE�, the policy(fes) must be endorsod. If SUBROGATION IS WAIVED, sub)ect to <br /> the terms and conditlons oP the policy, certaln policles may require an endorsement. A statement on this certMicate does not confer rights to tha <br /> certlficate holder in Ifeu of such endorsement s . <br /> �eoou�ER u,,,�"�T Pam Beddoe <br /> Insurance Advisors, Inc. �0� . 763-398d048 e�rc r�o� 763-398d060 <br /> 16020 27th Avenue N. <br /> Plymouth, MN 66447 aoo�ss: .beddoe IdY1VLCdfl <br /> Jason C Richmond <br /> INSURER AFFORDINGCOYERA6E NAICN <br /> ,Nsur�aR: WestBend 15350 <br /> i��o WestAlr,Inc. ,uSur�RB: <br /> 11184 River Rd. <br /> Hanover,MN 55341 �R" <br /> INSIMER D: <br /> �lSURER E: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBEFt: <br /> THIS IS T�CERTIFY THAT THE POLICIES OF INSURANCE LJSTED BEL�W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PQLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, fERM 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 P�LJCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIDNS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN PAAY HAVE BEEPI REDUCED 8Y PAID CLAIMS. <br /> � TYPE OF M15URANCE POLICY rM1MBER POLICY ffF POLICY EMP LYatlTS <br /> �����N EACHOCCURRENCE S 1,000,000 <br /> A X COMMERCIALOENERALLIABILIN BCO'I8�O10 04�1J2016 04/07/2076 DAMAOETORENTED S 200,000 <br /> c�ni►as-oaAOE ❑X occuR MEDEXP n one erson = 10,0� <br /> PERSONAL&ADVINJURY i 'I,OOO,OOO <br /> OENERALAOOREOATE i Z,OOO,OOO <br /> OEN'LAOOREOATELIAERAPPLIE3PER: � PRODUCTS-COMPlOPAGO $ Z�OOO,OOO <br /> X PRO- y <br /> AUT�IOBILELIABAI7Y COM81NE031NOLELIMR 1,000,000 <br /> A X ANY AUTO BC0184�10 04�01J2016 04/01/2016 BODILY INJURY(Per person) S <br /> ALLOWNED SCHEDULED BODILYINJURY(Peraccitlent) S <br /> AUTOS AUTOS <br /> X HIREDAUTOS X NON-OWNED PROPERTYDAMAOE b <br /> AUTOS <br /> $ <br /> X ��A�� X OCCUR EACHOCCURRENCE $ 'I,OOO,OOO <br /> A Exc�ss�we CLAIMS-MADE CU07848012 04/01/2016 04l0112016 AOOREORlE s <br /> X 0 <br /> ���T� X wcsr�ru- on+ <br /> �ro�orERs•u�un <br /> A ANYPROPRIETORIPARTNERIEXECUTIVE Y� p J� WC01848011 04f0112016 04I0112016 E.L EACHACCIDENT S 6��,000 <br /> OFFICERIMEMBER D(CLUDE07 <br /> pAandataryioNH) E.L.DISEASE-EAEMPLOYE S 60�,�� <br /> Ifyes,tlescribe untle� 600 000 <br /> �ies - <br /> q oluntary Prop Dam BC07848010 04/01/1076 04l01l2016 Ea Occur 2,600 <br /> Deductible G s n A p g 2,600 <br /> DESCRIPTION OF OP6iATWNS 1 L�ATIONS!VB�CLES (Attach ACOfm 701,AddUand Remarks 5d�,r mare space is raqWre� <br /> CERTIFICATE HOLDER CANCELLATION <br /> oRONo-- <br /> SHOULD ANY OF TFIE ABOVE DESCRI�POLICIES BE CANCELLED BEFOIiE <br /> C Ot 0�0110 TFE EXPIRATION DATE TFIEREOF, NOTICE WILL BE DELIVER� IN <br /> nY ACCORDANCE NfITH THE POLICY PR�VISIONS. <br /> 2750 Kelley Parkwagt <br /> Orono,MN 55356 �,�,�,���TrvE <br /> �,�/ <br /> !�. r. . <br /> �1988�010 ACORD CORPORATION.All riphts reasrved. <br /> ;, ACORD 26(2010N6) Ths ACORD nam e and loyo an ropisterod m arks ofACORD <br /> +��. � � �, <br />