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� � „ ' .---_ . -----_--_ .. --------- <br /> �tate of �in�te�ata ' <br /> f�C�ttnegot� �t��rtment of �ealt�j <br /> p�LiG if�RT. e0B 6a975 <br /> 121 �AST SSV$�1'!! PI�. 8'1'. p�, � 55164-0975 <br /> Maatrr Plus�r Lic�ee <br /> LIC�B 11D N387'.�!! BF � � HO 0Ar72�T <br /> . <br /> Q� J� L. i�illard <br /> 107Z0 Dunkirk I.�le �tiorth <br /> Maple �rove, 2�t 55369 � <br /> EFFECTIYE MTE EXMRATlON pATE <br /> el/01/Z003 12/31/2003 <br /> 1 <br /> � <br /> ( I <br /> ( MII�IESOTA DEPARTMEMT OF HEALTH - 80NDIN6 MD II�SUtANCE CERTIFICAIE ,� I <br /> ' � This is to certify that Joseph L. Robillard. Master Pl�nber License �� � <br /> Na, Pp1003873, represe�ting Robillard Plumbing b�Maintenance has filed a �i � <br /> ub <br /> ;�1� S25.OU0 bond with the Secretary of State on August 22. 2003 and provided �� ; <br /> ::I� evidence of Fublic Liability Insurance, including Products Liability Insurance �1 ` <br /> ; �� of at ieast 550.000 pe� pe�son and 5100.000 per occurrence and Property Damage ;; � <br /> ��I Insurance of at least 510,000 for the year 2003 in accardance with the ;� : <br /> ;�� provisions of Minnesota Statutes, Seetion 326.40. ': � <br /> _ <br /> '�� BaVD N0. 40880515 POLICY N0. 40880515 `' ' <br /> i Western Surety Company Western Surety Co�any 3� � <br /> !! Sioux Falls, Saith Dakota Lynn D. Nelson, Mi�nesota Agent �' � <br /> ! Rosevi 11 e. Mi rmesota '? � <br /> i�� �! ` <br /> I�At JOSEPH L ROBILLARD !� ` <br /> ;�j RQBILLARD PLlA4BING b MAINTENANCE ��'_ , �. ,�� '� ' <br /> ( � �PLE GROHE�MN N55369� �`�"`'""' <br /> , f; ; <br /> � � Patricia A. Bloangren. Director �: � <br /> � Division of Environ�nental Health '' ' <br /> :�i '� � <br /> ;, : <br /> ;� Dianne Mandernach. Coamissione� ;! ' <br /> I j� � <br /> ►� �� �' <br /> '�i �! ;! <br /> I'� — �` �� <br /> . � <br /> TOTI� P.01 <br />