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CERTIFICATE OF INSURANCE <br /> LIABILITY & WORKERS' COMPENSATION <br /> This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This <br /> certificate does not amend,extend or alter the coverage afforded by the policies listed below. <br /> PROJECT: N-011\0 C VYA'vv <br /> CERTIFICATE HOLDER& ADDITIONAL INSURED: City of Orono <br /> ADDRESS: <br /> ARCI-UENGR: <br /> INSURED: OVt CVO n/A LL-C-- <br /> ADDRESS: ic3 (ftiyt' Lca <br /> W611u 1f4 SS3G[ I - <br /> AGENT: C 17k"min 11vp <br /> ADDRESS:_ctb5$ \A, 3' tb S k i b <br /> G _Yzc' - - ♦ r ---- <br /> WORKERS'COMPENSATION COVERAGE <br /> POLICY# 14-00001111EFFECTIVE DATE 01 / 01 / 2019 EXPIRATION <br /> DATE 01 / 01 / 2020 <br /> INSURANCE COMPANY: The Builders Group <br /> COVERAGE-Workers'Compensation, Statutory.Employers'Liability Limit <br /> $ 100,000 Each Accident $ 500,000 Disease Policy Limit $_ 100,000 Disease Employee <br /> Limit <br /> ($500,000 Policy limit applies to both accident and disease) <br /> GENERAL LIABILITY <br /> POLICY# tk G 59 I '-{- _EFFECTIVE DATE ( / ! I EXPIRATION DATE 11 / 1- / t 9 <br /> INSURANCE COMPANY: lei�, \A re. <br /> ( )Claims Made () Occurrence ( )Owner's&Contractors Protective ( )Other <br /> LIMITS: <br /> General Aggregate Limit(Other Than Products-Completed Operations) $ 2 V`'1 <br /> Products-Completed Operations Aggregate Limit $ ;L.WI <br /> Personal&Advertising Injury Limit $ ,A_\ <br /> Each Occurrence $ �+ <br /> 22 <br />