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,aco� CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DD/YYYY) `-� 9/5/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT C@Tt1f1Cdt2S Department Kraus-Anderson Insurance PHONE (9SZ)7O7—HZEZ FAx AIC No: �952)890-0535 420 Gateway Boulevard AooRE :certificates@kainsurance.com INSURER S AFFORDING COVERAGE NAIC# Burnsville NIN 55337-2790 iNsuaeR n Amerisure INSURED INSURER B: Ray N Welter Heating Company INSURERC: 4637 Chicago Avenue INSURERD: INSURER E: Minneapolis MN 55407-3512 INSURERF: COVERAGES CERTIFICATE NUMBER:14/15 Certificate REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'LTR TYPE OF INSURANCE ADDL SUBR pOLICY NUMBER MM/DDY/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1�OOO�OOO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Eaoccurrence $ 500,000 A CLAIMS-MADE �OCCUR PP2089207 9/1/2014 9/1/2015 MED EXP(Any one person) $ 1�,�0� PERSONAL&ADV INJURY $ 1�OOO�OOO GENERAL AGGREGATE $ 2�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Z�OOO�OOO X POLICY PR� LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaaccident 50� ��0 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 2099201 9/1/2014 9/1/2015 BODILY INJURY Per accident $ AUTOS AUTOS � � HIREDAUTOS X NON-OWNED PROPERTYDAMAGE $ AUTOS Per accident X Notice of Cancellation $ 60 Dd S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1�OOO�OOO A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1�OOO�OOO DED X RETENTIONS U2089203 9/1/2014 9/1/2015 $ j.� WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ SOO OOO OFFICER/MEMBER EXCLUDED? N�A (Mandatory in NH) C2089205 9/1/2014 9/1/2015 E.L.DISEASE-EA EMPLOYE $ 500 D00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SOO OOO DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is requlred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WIIL BE DELIVERED IN City Of Orono ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 66 27'rJ� Kelley Parkway AUTHORIZED REPRESENTATIVE Crystal Bay, MN 55323 �_/��--- Jim Klym/SBOSCH � ACORD 25(2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025(zo�oos�.o� The ACORD name and logo are registered marks of ACORD