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�.. <br /> ACORD� DATE(MAAIDD/VYYI� <br /> CERTIFICATE OF LIABILITY INSURANCE 03/08/2016 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTRUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certiflcate holder is an ADDfTIONAL INSURED,the policy(fes)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,ce►taln policles may require an endorsement. A statement on this certiflcate dces not confer rights to the <br /> certiflcate holder In Ileu of such endorsement s. <br /> PROOUCER NAME: NI el DahNan <br /> Oakwood Insurance Agency PHONE , 763�24-7464 q�C N,;763-424-8414 <br /> 129 Central Ave. A�e : ndahlvan akwoodinsurance.com <br /> 088@O�MN 55369 INSURER S AFFORDIN6 COVERA6E NAIC i <br /> WSURERA: T1'8V er Z.r1666 <br /> WSURED INSURERB: �n r' Mu u ���1 . <br /> Excel Mechanical,Inc. INSURERC: T v r <br /> 11582 County Road 13 SE INSURER D: <br /> Watertown, MN 55388 INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 1 <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. NOTWITNSTANDING 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 WSURANCE POLICY EFF POLICY EXP LIMR8 <br /> LTR POLICY NUMBER MMIDO MMID <br /> A X COMNERCIALGENERALWBILITY 6805G773802 01/0112016 O1/O'I/2077 EACHOCCURRENCE $ � OOOOOO <br /> CLAIMS�AADE �OCCUR pREMISES Ea rre S 3OO OOO <br /> MED EXP(An one reon $ rJ��0 <br /> PERSONAL 8 ADV INJURY $ � OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2 OOO OOO <br /> X POLICY�jEa �LOC PRODUCTS-COMP/OPAC,G $ Z OOO OOO <br /> OTHER: S <br /> B AUTOMOBILELUIBILRY XA 2667184 01/01/2016 01/01/2017 EeeccideniSINGL L� $ ,� 000 000 . <br /> �y q�p BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS X AUTOS <br /> NON-0WNED PROPERiY DAMAGE $ <br /> X HIRED AUTOS X AUTOS Per accident <br /> S <br /> `` �( UMBRELLALIAB OCCUR CUP5G774257 � ovov2ots ���O��ZO�� EACHOCCURRENCE S � ����Q� <br /> IXCESS LIAB �( CLAIMS-MADE AGGREGATE S � OOO OOO <br /> DED X RETENTION S rJ OOO 3 <br /> C WORKERSCOMPENSATION UB4545T784 O'I/O'I/ZO'IB O'I/O'I/ZO'I� X STATUTE ER <br /> AND EMPLOYERS'LY181LRY <br /> ANY PROPRIETORIPARTNERIEXECUTIVE Y�N�A E.L.EACH ACCIDENT $ SOO�OOO <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ SOO�OOO <br /> DESCRIPTION O OrPERATIONS bebw E.L.DISEASE-POLICY LIMIT $ .r1OO OOO <br /> DE8CRIPTION OP OPERATpNS/LOCATIONS I VEHICLES(ACORD 101,AddMlonal Remarks SoheduN,maY be atleched H mon spau Is roqulred) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELNERED IN <br /> TerlNisscha Construction, (IIC. ACCORDANCE WRH TME POLICY PROVISIONS. <br /> 1550 Willmar Ave SE <br /> Willma�, MN 56201 AUTHORIZE+�� SENTATIVE � - <br /> r <br /> m 1988-2014 ACORD CORPORATION. All rlghts erved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> Printed by NRD on March 08,2016 at 10:21AM <br />