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<br /> '`#�'� � CERTlFICATE OF LIABILITY INSURANCE °9�22�20 5"'
<br /> THlS CERTt IGATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT5 UPON THE CERTIFICA7E HOLDER. THIS
<br /> CERTfFICA OOE NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTEft THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. T S CE IFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BfTWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESEN TIVE PRODUCER,AND THE CERTlFlCATE HOLDER.
<br /> IMPORTANT l the ettificate holder is en ADDITIONAL INSURED;tfie po(Icy(Ies)musf be endorsed. if SUBROGA710N IS WAIVED,subJect to
<br /> the torms an aond ns of the polic;,certatn policies may requfre an endorsement. A statement on this cerHficate does not confer rights to the
<br /> certificate h der in i u of such endorsement(s).
<br /> ����. PRODUCER � �-�A �JohA ROOnC:y �
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<br /> Advance In uran Aqency FPHONE (952)842 1134 � �� gk� (952)831-0572
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<br /> 5241 Vikin Ari 3te 200
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<br /> Edina rIli 55435 �NsurtEaa:Owners Insurance ' 32700
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<br /> INSURED � INSURER B ALitO Owners insuranca . 18988
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<br /> Robert B H' 1 C any iNsurtE►tc:
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<br /> St Louis Pa k 1�1 55426-4520 INS RERF:
<br /> COVERAGES CERTIFICATE NUMBER:2o15l16 REVISION NUMBER:
<br /> THIS IS TO CE TI Y T THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEd ABOVE FOR THE POUCY P�RIOD '=-'
<br /> INDICATED. N T1MTH ANDING ANY REQUIREMENT, TERM OR CONDITJON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE Y BE 1 SUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERElN !S SUBJECT TO ALL THE TERMS. '
<br /> , EXCLUSIONS A 0 CO ITIONS OF SUCN POLIGES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS>
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<br /> '� �LTR TM E F IN RANCE FCN�.IGY UMBER MiD Y MMUQDfYYYY UMITS
<br /> � ' X�.COMMER�IA GEM�� L LiABILITV � �� �EACN OCCilRREN�E �S 1�000�000''�
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<br /> � � A ,,,,�CLAt, 5-ry1RCE R�OC•f.UR �'_pJ�� c�acpx�},......,. $ 300,000�.
<br /> �� � ����08631a09 10/15/2015 10/15/2016�_M�D EXP(Any one person) S�� 10 000.
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<br /> ��. PERSONAL&AW INJURY S 1�000,000 �
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<br /> GENt AG RE TE lfPdl PPLiEa pEft: �GENERAL AGGREGATE S 2,000,000'�� �
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<br /> � X '.POLICY( 1���.. �LQC PRODUCTS COMPiOP A�G S 2,000 000 �
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<br /> Q7 g; 'Employae BereTts E 1,000,000'
<br /> AUTOMOBILE L BIUTY �� �° 5 1,000,000
<br /> �ANY AU'10 .BOC'il Y INJURY(Per perso�l S �
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<br /> � � 49631d0900 10/1512015 SG/15/2016 ��ODILYINJURY(PeracadenlJ S
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<br /> qP(P-nd�Gonal g 20.000`
<br /> R UMBRELLA LIpB OCCUR I�EACti OCGURREh10E S 1,AQQ�OQQ'
<br /> $ � EXCESS LI 8 _�C�AIMS-tdAO.= AGGREGHTE� 8 1 OQQ Q(�O...
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<br /> DED� �X� RETENT S 30 000 �4963140901 ���'20/25/2015 �10/15/2016 . . a �
<br /> ..WORKERS COM �N ATIO . . . � ... .. .. . .. .... �!. . .. � : P � .. .
<br /> ANDEMPLOYE LIpBILI Y/N t 'X � ALUT"� ... .-. �
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<br /> ANY PROPRIETO ARTNE XECUTIVE ��N/A� E � E t cACN A CIDENT $ I�OOOd OQO -
<br /> � OPFiCERiMEMBE E7CCW0 ? �- ���—
<br /> B ,(Mandatory In NH ' �08177586 10/15/2015 10/15/2016 t DISEASE EA�MPLOYh S . 1 a OOOd 000 �
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<br /> ' ��ESCttIPTIpN OF OPE TIpNS/ CATIONS/VEHICLES (ACORD 101,AdAitiona!Remarks Schedule,may be attached if more space ia required) �� � �
<br /> , Automatic 14d 'trio 1 Insured if required by a written contract/agreement per Policy Form �55373
<br /> CERTIFICATE HO ER GANGELLi�I'1''IOi�
<br /> ' SHOULD ANY OF THE ABOVE DESCRIBED POI.iCIES BE CANCELLED BEFORE
<br /> THE EXPIRAFION DATE THEREOF, NOTICE WILL 6E DELIVERED IN
<br /> ACCORDANCE WlTH THE AOLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> Jot:n Rooney/R139
<br /> O 1988-2014 ACORD CORP0f2ATION. All rights reserved.
<br /> ACORD 25(201410 ) The ACORD name and Iogo are registered marks of ACORD
<br /> INS025r�mami
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