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��'� WESTA-4 OP ID: TR '`��,R�'' CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DD/YYYY) 04/02/13 ', 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 CpNTRACT 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 763-536-8006 NAMEACT . Insurance Advisors,Inc. 763-398-4060 PHONE Fnx - 15020 27th Avenue N. ac,No EXtl__ _ (ac,No�: Plymouth,MN 55447 E-MAIL Jason C Richmond AooRess_ INSURER�S)AFFORDING COVERAGE NAIC# ir,suReR a:West Bend 15350 _ __ _---- — — -- - - INSURED WestAir, �IIC. INSURERB: 11184 River Rd. --" — Har�over, MN 55341 INSURERC: __ � INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR AD L S BR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE pOLICY NUMBER MM/DD/YYYY MM/DDlYYYY LIMITS � GENERAL LIABIUTY EACH OCCURRENCE $ �,OOO,OO DAMA ET RENTED A X COMA9ERCIAL GENERAL LIABILITY BC01848010 04/0�/13 04/07/14 pREMIS�Ea occurrence $ 200,�� CIAIMS-MADE � OCCUR MED EXP(Any one person) $ �O,OOO PERSONAL 8 ADV INJURY $ ��OOO,OO GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Z,OOO,OO X POLICY PR� LOC ' $ AUTOMOBILE LIABILITY ' COMBINED SINGIE LIMIT 'I�OOO�OO Ea accident $ . /Q X ANY AUTO BC01848010 04/01/13 04/01/14 BODILY INJURY(Per person) $ A�L OWNED SCHEDUIED BODILY INJURY(Per accidenl) $ AUTOS AUTOS X HIRED AUTOS �( NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident� _ — $ X UMBREILA LIAB X OCCUR EACH OCCURRENCE $ 'I,OOO,OO A EXCESS LIAB CLAIMS-MADE CU01848012 04/01/13 04/01114 AGGREGATE $ �-�-- DED X RETENTION$ O $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y�N WC01848011 04/01/13 04/01/14 E.L EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED7 � N 1 A -- - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 5�0,�0 It yes,descriGe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SOO,OO q Voluntary Prop Dam BC01848010 04/01/13 04/01/14 Ea Occur 2,50 $250 Deductible � Gen Agg 2,50 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHIC�ES (Attach ACORD 101,Addltlonal Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION ORONO-- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Orono ACCORDANCE WITH THE POLICY PROVISIONS. 2750 Kelley Parkway PO BOX F)F) AUTHORIZED REPRESENTATIVE Crystal Bay„ MN 55323-0066 n ,n�� �. �. .��u�� �O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD