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�!�O� RICCA-2 OP ID: KNEL <br /> ACV7�O� DATE(MM/DD/YYYY) <br /> �- CERTIFICATE OF LIABILITY INSURANCE 03/24/14 <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 IMSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> r REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> iPORTANT: If the certificate 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 Ileu of such endorsement s. <br /> PRODUCER 763-29rJ-8��6 CONTACT <br /> Liberty Insurance Agency pH�ONEE Fax <br /> Monticello ac No �: ac No: <br /> 1560 Hart Boulevard �o�sg: <br /> Monticello,MN 55362 <br /> Randy Hadaway INSURER S AFFORDING COVERAGE N,e,ic# <br /> iNsuReRa:West Bend Mutual <br /> INSURED Riccar Heating&Air INSURER B: <br /> Conditioning,Inc. INSURER C: <br /> 2387 Station Parkway NW <br /> Andover,MN 55304 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 TFiE 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 POLICY FF POLICY P <br /> LTR POLICY NUMBER MMIDD MMIDD LIMRS <br /> GENERAL LIABILRY EACH OCCURRENCE $ 'I�OOO�OO <br /> A X COMMERCIAL GENERAL LIABILITY X BC01844519 04/01114 04/01/15 pREMISES Ea occurtence $ 2�0,00 <br /> CLAIMS-MADE �OCCUR MED EXP(Any one person) $ ��,�� <br /> X Blkt Add�i IIISfI. PERSONAL 8 ADV INJURY $ �,0��,�� <br /> Wg�482 GENERALAGGREGATE $ Z,OOO�OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Z,OOO,OO <br /> POLICY X PR�- LOC Emp Ben. S 1,000,00 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident �,���,�� <br /> X ANY AUTO BC07844519 OM01114 04/07/15 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE <br /> AUTOS Peraccident $ <br /> $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ ��OOO,OO <br /> A EXCESS LIAB CLAIMS-MADE CU01844521 �4/��/�4 04/01/15 qGGREGATE $ <br /> DED X RETENTtON �OOOO $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'UABILITY y�N X ORY LI T E <br /> A1 ANYPROPRIETOR/PARTNER/EXECUTNE WC01844520 04/07/14 OM01/75 E.L.EACHACCIDENT $ 50��� <br /> OFFICEWMEMBER EXCLUDED? � N�A � <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ SOO,OOO <br /> If yes,describe under <br /> DESCR�PTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ �JOO�OO <br /> DESCRIPTION OF OPERAT10N3/LOCATtON3/VENICLES (Attaeh ACORD 101,AddWonal Remarks Schedula,if more spaee is requlred) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORON001 <br /> SHOULD ANY OF TIiE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CI�/Of OfOnO ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P.O. Box 662750 <br /> Crystal Bay, MN 55323 AUTHORIZED REPRESENTATIVE <br /> �a•�<�..� <br /> OO 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />