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�� <br /> i <br /> Client#:13152 MARHE <br /> DATE(MNUDD/YYYY) <br /> �tCORQ,., CERTIFICATE OF LIABILITY INSURANCE 3/31/2011 <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 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 dces not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER NAME: EPIfl SU�b@� <br /> J.A.Price Agency�I11C. PHONE 952 944-8790 <br /> ac N, EM: ,vc,No: 952 944-0097 <br /> 6640 Shady Oak Road ADpR'E�, erin.surber�japrice.com <br /> SUIt@ rJOO INSURER(S)AFFORDING COVERAGE NAIC# <br /> Eden Prairie,MN 55344-6176 ,NsuRER,,:Cincinnati Insurance Companies <br /> INSURED iNsuRER B:Accident Fund Insurance Co.of 10166 <br /> Marsh Heating&Air Conditioning Co Inc <br /> INSURER C: <br /> 6248 Lakeland Avenue North <br /> INSURER D: <br /> Minneapolis,MN 55428 <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 /> LTRR NPE OF INSURANCE NSRL WVD POLICY NUMBER M�D/YYYYF MM�/LD�DNYYY LIMRS <br /> q GENERA�u^eaiTM CPPCPA3650927 MO�IZO�� 04�O�IZO� EACHOCCURRENCE $� OOOOOO <br /> X COMMERCIAL GENERAL L�ABILITY PREMIBES EaEoNccTurrence $5O OOO <br /> CLAIMS-MADE �OCCUR MED EXP(Any one person) $�J OOO <br /> X PD Ded:500 PERSONAL&ADV INJURY $� OOO�OOO <br /> GENERALAGGREGATE $Z�OOO�OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $Z�OOO�OOO <br /> POLICY X PR� X LOC $ <br /> A AUTOMOBILE LIABILITY CPPCPA3650927 4�O��ZO�� OMO'I�ZO� Ee axideD SINGLE LIMIT ��OOO,OOO <br /> X ANY AUTO BODILY I W URY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> X H REDSAUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> $ <br /> A �( UMBRELLA LIAB pCCUR CPPCPA3650927 MO�/PO�� O4IO�/ZO1 EACH OCCURRENCE $.3 OOO OOO <br /> EXCESS LIAB CLAIMS-MADE AGGRECaATE $$OOO OOO <br /> DED X RETENTION$O $ <br /> B WORKERSCOMPENSATION WCVGOZ9rJ'IB 4/01/2011 OM01/201 X WCSTATU- OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y�N E.L.EACH ACCIDENT $SOO OOO <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $SOO OOO <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $SOO OOO <br /> DESCRIP710N OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space ia requlred) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Clt Of O�Of10 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> P.O.BOX BB ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Crystal Bay,MN 55323 <br /> AUTHORIZED REPRESENTATIVE <br /> W�,ye.� <br /> �1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 pf 1 The ACORD name and logo are registered marks of ACORD <br /> #S69419/M69345 ENS <br />