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A CERTIFICATE OF LIABILITY INSURANCE �2(20D5"") <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER rCiOOnNtTACT Donna Martin <br /> Christensen Group Insurance PH NN Est): (952)653-1000 Iii No 653-1101 <br /> 11100 Bran Road West nooRESS;dmartin@christensengroup.com <br /> INSURER(S)AFFORDING COVERAGE NAIC S <br /> Minnetonka MN 55343 INsuRERA:Cincinnati Insurance Company 10677 <br /> INSURED <br /> INSURER B: <br /> Source Land Development Inc INSURER C: <br /> 18215 45th Ave N, Suite D INSURER D: <br /> INSURER E: <br /> Plymouth MN 55446 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:15/16 Liability Master REVISION NUMBER: <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. NOTWITHSTANDING 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 TYPE OF INSURANCE AODL SUBR POLICY EFF POLICY EXP <br /> LTR INSR WVD POLICY NUMBER IMMIDDIYYYY) (MM/DDIYYYY) LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGETO RENTED <br /> PREEMISES(Ea occurrence) $ 500,000 <br /> A CLAIMS-MADE I X I OCCUR SNP 0337213 7/8/2015 7/8/2016 MECEXP(Anyoneperson) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> X POLICY71 <br /> PRO- — - <br /> IFCT 1 1 LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> lEa accident) $ <br /> ANY AUTO BODILY INJURY(Pec person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY Pec accident $ <br /> AUTOS AUTOS ( ) <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> _ AUTOS (Per accident) $ <br /> I $ <br /> X UMBRELLA UAB —X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $ 1,000,000 <br /> DED RETENTIONS SNP 0337213 7/8/2015 7/B/2016 $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y I N TORY I IMITS ER _ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ <br /> OFF10ERIMEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If mare space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Orono ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2750 Kelley Parkway <br /> Orono, MN 55356 AUTHORIZED REPRESENTATIVE <br /> [ Brandon Perkins/MH ,-- -1 <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025!?mnnEI of Thn ARr1Rrl name and!non arm ranicfcmri marks of ACrlgil <br />