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Minnesota Department of Labor and Industry Licensing and Certification Services <br /> �Construction Codes and Licensing Division Phone: 651.284.5034 <br /> 443 Lafayette Road N Email: DLI.License@state.mn.us <br /> Saint Paul,MN 55155 Website: www.dli.mn.gov/ccld.asp <br /> NOTICES <br /> NOT TRANSFERABLE K EVE &JC MECHANICAL LLC <br /> CHANGE YOUR BUSINESS STRUCTURE 12 07 PIONEER TRAIL <br /> SUBMIT A NEW APPLICATION FOR NEW ENTITY E EN PRAIRIE, MN 55347 <br /> RENEW OR REPLACE INSURANCE POLICY <br /> SUBMIT NEW CERTIFICATE OF INSURANCE <br /> NOTIFY THE DEPARTMENT OF A CHANGE IN YOUR BUSINE S. <br /> Failure to do so, subjects you to administrative penalties of U to$10,000. _ <br /> 15-Day Notice Requirement-Forms available online at www.dl�.mn: ov/CCLD/LicU date.as � <br /> • Change in business'physical address,mailing address, phone umber, or�email address <br /> • Change in control, owners,officers,directors,members,partne <br /> • Change in business'legal name and/or assumed name�" ' <br /> • Loss of or change in RESPONSIBLE INDIVIDUAL <br /> • Change in general lizbility insurance or workers'compensation i surance coverage <br /> Imm.ediate Notice Requirement—Notification to DLI in writing <br /> '• Jud4ment�ebtor. A licensed contractor has 15 days to provid written notice of the finding that it is found to be a judgment <br /> = debtor-t�ased upon conduct requiring licensure. <br /> _ , _ ,— <br /> '' • Bankruptcv Petition Filed. A licensed contractor has 15 days to rovide written notice that it{iled a petition for bankruptcy. <br /> • Conviction Notice. A licensed contractor has 10 days to provid written notice that it has been found guilty of a felony, gross <br /> misdemeanor, misdemeanor or any comparable offense related to the license, including convictions of fraud, <br /> misrepresentation,misuse of funds, tt�eft,criminal sexual condu f;assault, burglary,conversion of funds, or theft of proceeds <br /> in this or any other state or any other United.States jurisdiction:-" <br /> YOUR CERTIFICATE IS BELOW THE PERFORATION. SHOW CERTIFICATE WHEN OBTAINING PERMITS. <br /> ' MINNESOTAOEPARTM�NT�OP MECHANIC . L CONTI�ACTOR BOND <br /> � <br /> i.ABOR 8c 1NDUSTRY <br /> Construction Codes and Licensing Division Licensing and rtification Services 443 Lafayette Road N St.Paul,MN 55155 <br /> Website: www.dli.mn.pov/ccld.asn Email: dli.lice se state.mn.us Phone: 651.284.5034 <br /> This is to certify that the certificate holder is registered as a MECHANICAL CO TRACTOR BOND in the state of Minnesota and is in compliance <br /> with Minnesota Statutes 326B.197,and has filed a$25,000 mechanical bond to erform gas,heating,ventilation,cooling,air conditioning, <br /> fuel buming,or refngeration work in all areas of the state during the registration eriod;provided the work performed coroplies with <br /> the State Mechanical Code and the certificate holder maintains compliance with t e required bond and workers'compensation laws. <br /> Registration : MECHANICAL CONTRACTOR BOND � <br /> RegNumber : MB658861 KLEVE &JC MECHANICAL LLC � <br /> Effective Date : 10/31/2012 12907 PIONEER TRAIL B <br /> Expiration Date : 07/03/2014 EDEN PRAIRiE, MN 55347 � <br /> T <br /> VERIFY UP-TO-DATE STATUS, BOND,AND INSURANCE INFO AT .dli.mn. ov/ccld/licVerifv.asp (ENTER NUMBER). <br />