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" Department of Administration
<br /> BUILDING CODES AND STANDARDS DIVISION
<br /> 408 Metro Square Building
<br /> jnnesata 121 East 7th Place,St Paul,MN 55101-2181
<br /> 651.296.4639 FAX:651.297.1973 TTY:800.627.3529
<br /> DEPARTMENT OF ADMINISTRATIONSURETY BOND www.bUlldinaCOdes.admin.state.mn.us
<br /> 69564333
<br /> Work covered by the State Mechanical Code(Chapter 1346): BOND NUMBER:
<br /> Including gas installations, heating,ventilation,air Amount:$25,000 August 13 2005
<br /> conditioning,fuel burning, refrigeration(GIHVACR) EFFECTIVE DATE:
<br /> Pursuant to the terms of this instrument Metro Air Inc.
<br /> as Principal with its principal office located at:(address,city,state,zip) 16980 Welcome Ave. S. E.
<br /> Prior Lake MN 55372 company phone number: and
<br /> WESTERN SURETY COMPANY ,a corporation licensed to transact a surety business in the State of
<br /> Minnesota,with its principal office located at 101 S Phillips Ave Sioux Falls, SD 57104-6703
<br /> as Surety,their successors,assigns,and legal representatives are held and firmly bound,jointly and severally,to the State of Minnesota
<br /> and any third party sustaining financial loss within the terms of this bond for payment in the amount of Twenty-Five Thousand Dollars
<br /> ($25,000),as provided in Minnesota Statute 326.992(a). This bond is for the benefit of persons suffering financial loss by reason of the
<br /> contractor's failure to comply with the requirements of the State Mechanical Code(Minnesota Rules,Chapter 1346)when performing
<br /> work in the State of Minnesota.
<br /> The condition of this bond is that the Principal has contracted to do gas,heating,ventilation,cooling,air conditioning, fuel burning,or
<br /> refrigeration work within the State of Minnesota. If the Principal faithfully complies with the State of Minnesota Mechanical Code and
<br /> indemnifies any person dealing or transacting business with the Principal from any loss or damage occasioned by the failure of the
<br /> Principal to comply with any of the laws and rules of the State of Minnesota,then no obligation under this bond shall accrue;otherwise,
<br /> this obligation shall remain in full force and effect.
<br /> Your bond must be renewed with a continuation certificate submitted to Building Codes and Standards Division. Renewal Is
<br /> due annually from the effective date of the bond or continuation certificate. The aggregate liability of the Surety,regardless of the
<br /> number of claims made against the bond or the number of years the bond remains in force,shall in no event exceed$25,000.
<br /> The bond may be cancelled by the Surety,as to future liability,by giving written notice by Certified Mail,addressed to the Principal at the
<br /> address as stated in this bond,and to the Building Codes and Standards Division,Department of Administration as the address appears
<br /> on this bond. Thirty(30)days after the mailing of that notice,this bond shall be null and void as to any liability thereafter arising,1he
<br /> Surety remaining liable, however,subject to all the terms,conditions,and provisions of this bond,for any and all acts covered by this
<br /> bond up to the date of the cancellation. APPLY INSURANCE
<br /> 4g and Witn ssed this
<br /> 23rd June day of June 0 5 COMPANY SEAL
<br /> ` o
<br /> AITNS T PAL SIGNATURE PRI AL NATURE
<br /> -
<br /> TITLE
<br /> WESTERN SURETY COMPANY
<br /> WITNE U ETY SIGNATURE 7Z;f
<br /> H.Dthlatrom,Asst Sec.
<br /> ����-�
<br /> SURETY COMPANY REPRESENTATIVE SIGNATURE AND TITLE
<br /> S•ND FILING FEE-CHECK MUST BE MAILED WITH THIS FORM AND POWER OF •' •'
<br /> Mail the following items to: Department of Administration, Building Codes and Standards Division,408•R,letro Square Building,
<br /> 121 East 7th Place, St. Paul, MN 55101-2181. After these items have been processed, your company name will be posted on
<br /> our website and you will receive a certificate in the mail valid for one year.
<br /> Page 1 filled out completely including all signatures and insurance company seal(embossed or stick on).
<br /> Page 2 with the appropriate Business Acknowledgement and Surety Acknowledgement with all signatures.
<br /> Valid Power of Attorney attached.
<br /> Check for$15 fee,payable to the Minnesota State Treasurer. Checks returned for non-payment will be charged a$20 fee.
<br /> (M.S.604.113, subd.2). Approved bonds are on our website in the Bond List. BCSD-ME001P 311105 Pagel
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