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Al j-�Q� DATE(MM/DD/YYYY) <br /> �- CERTIFICATE OF LIABILITY INSURANCE <br /> � 12-10-13 <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 coNrncr GARY HORRISBERGER <br /> NAME: <br /> NATIONAL INSURANCE ��"�"N.E,��: 651-426-1600 �jac,No�:651-426-5023 <br /> 5365 129th STREET N. no R�ess: Nationalinsurance@comcast.net <br /> HUGO, MN 55038 INSURER(S)AFFORDING COVERAGE NAIC# <br /> iNsuRertn:AUTO OWNERS INSURANCE COMPANY <br /> -- __ __. <br /> - -- - --__ _- —_ _ ___ <br /> INSURED INSURER B: <br /> --- ---._._-- <br /> CARTER CUSTOM CONSTRUCTION INSURERC: <br /> 6128 GOODVIEW TRAIL CIRCLE N. iNsuReRo: <br /> INSURER E: <br /> HUGO MN 55038-7474 — <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 /> _ __---- <br /> INSR 7ypE OF INSURANCE ADDL SUBR pOLICY NUMBER MM/DD/YYYV MM/DIYYYY � LIMITS <br /> LTR <br /> X COMMERCIAL GENERAL�IABILITY j ' EACH OCCURRENCE $ �,OOO,OOO <br /> A ; , �08733376 8/4/13 8/4/14 _ _-- <br /> C�� �DAMAGE TO RENTED �jOO,OOO <br /> f CLAIMS-MADE X OCCUR I ! PREMISESiEaoccurrence $ <br /> I� (�MED EXP(My one person) $ ��,��� <br /> - --. __---- I <br /> _...._.— ---- <br /> _ I PERSONAL 8 ADV INJURY $ �,OOO,OOO <br /> -- __ __ <br /> �X POLICY GATE LIMITAPPLIES PER: GENERALAGGREGATE $ Z,OOO,OOO <br /> �l PRO- , PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> �_J JECT � LOC I <br /> . _----- - <br /> , - ---- <br /> OTHER: � $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT g �,OOO,OOO <br /> A 46-446-702-01 i 3/15/13 3/15/14 IEaaccident�_ _ ______ <br /> ANY AUTO �'� i BODILY INJURY(Per person) $ <br /> ALL ONMED SCHEDULED I � - �� �����- <br /> AUTOS X AUTOS � BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS X ' NON-OWNED PROPERTY DAMAGE $ <br /> 'AUTOS (Peracciden)____ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE I$ <br /> -- ------- <br /> EXCESS LIAB i CLAIMS-MADE AGGREGATE $ <br /> � , _-� -- — <br /> �� DED ' RETENTION$ I ''� $ <br /> WORKERS COMPENSATION , X PER OTH- � <br /> /4 AND EMPLOYERS'UABILITY ❑ 08030184 8/4/13 8/4/14 �_ ..,$TATUTE__ ER.. <br /> ,ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N ' E.LEACHACCIDENT $ �OO,OOO <br /> IOFFICER/MEMBEREXCLUDED7 Y N�A � -- <br /> I(Mandatory in NH� . E.L.DISEASE-EA EMPLOYE $ ���,��� <br /> If yes,desaibe under '�. � <br /> DESCRIPTION OF OPERATIONS below ' � EL DISEASE-POLICY LIMIT $ �JOO,OOO <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Orono SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 2750 Kelle Parkwa THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Y Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orono, MN 55356 <br /> AUTHORIZED REPRESENTATIVE <br /> OO 1988-2013 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2013/04) The ACORD name and logo are registered marks of ACORD <br />