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From:Sue Fischer-LeBeau FaxID: Page 2 of 3 Date:7/15/2014 12:14 PM Page:2 of 3 '`~�1 METR019 OP ID: SF '`��-'z�' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY} 07/15/14 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 CERl1FICATE HOLDER.� IMPORTANT: If the certificate holder is an ADDITIONA� INSURED, he policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condltions of the policy, certaln policles may requlre an endorsement. A statement on this certlflcate does not confer rights to lhe certiflcate holder in lieu of such endorsement(s). PRoourER Phone: 952-996-8818 CON ACT Northern Capltal Commerclal NAME: �PHONE.._ .._ -- -..__ _._ --- Ak_— —. __ — — Norlhem Capital Ins Gp dba FaX: 952-829-0482 LAic No,Exg _ _ _ A��N� _ P.O. Box 939G e-Mni� — — Minneapolis,MN 55440-9396 ADDRESS: -- — ----— — ------- — ---- __. Koester Insurance Services, Ifl _ INSURER(S)AFFORDING COVERAGE NAIC/ —_-- ---- --- -- —_— ' INSURERA ACUITY Insurance 14184 .. _.. --- _ ------. __._.— — --.— ___.—.. ...—.__. .--_.. .__ . . —__ .._.—_. —._._ ---- ------ - �------ irisuREo Metro Air, Inc. iNsuReRe. 16980 Welcome Ave.SE — -- ---- Prior Lake, MN 55372 irisuRERc INSURER D: —---- INSURER E: ----�---- ----. . _.. ---�------ - --� --- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CFRTIFY 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. -- --_--- —— - — __— _ . — —-- --- 0 �6LI�PE �bLfZ`�'EX� ------- - --- — --—— LTR Tl'PE OF�NSURANCE INSR WVD POLICY NUMBER MMIDDlYYYY MMIDD/YVYY LIMITS GENERAL LIABILITY -- Encr�occuRREr�cE � 1,000,000 A X �_oMnn��lan�c�NFHn�unsiurv X77996 09/01/13 09/01/14 ��0�� �- PREMISES(Ea occurrenceZ_ $ 25�,00� �CL�IMS MADE X�OCCUP, MED E<P(Any one person) $ 'IO.00O. --- - - --�--- PERSON�L&ADV INJURY $ 'I,OOO,OOO -�-------..._ - � � -�-�- ---- --�-- GENERAL AGGREGATE $ 3,000,000 GI�.P�fL AGCRFGATE LIMIT APPLIES PFR PRODUCTS-COMP/OP AGG $ 3,000�000 X F`OLICY PR 7 LOC $ � - AUfOMOBILE LIABILITY COMBINED SINGLE LIMIT fEaaccidenq_ _ _ g 1,000,000 A nNv nuro X77996 09/01/13 09/01/14 oo�i�v iN.iuRv�Pe�ua,so„� y , � -� ALLOWNED � SCHEDUL�D __ .._ _. AUTO.`> _X AUTOS RODIL Y IN,II IRY(Per arridant) '� fdON-OWNFD X HII?Ef'NJIOS X q��0� PROPFRTYDAMAGF $ �—-�- - �- Per accident _ $ ------ X UMBRELLA LIAB X �C�.��P EACN OCCURRENCE 2 S,OOO,OOO - --------- ----- /� ExCE55 UAB c�t�iMs MA�E X77996 09/D1/13 09/01/14 A��PE�ArF g 5,000,000 UEU HtIENIIUN$ � �—�--- WORKERS COMPENSATION WC ST�TU- pTH- AND EMPLOYERS'LIABILITY X TORY IMI7" _,.GR__ A nNv rrz r Fir�ror�iPnFzrniER�;ecuTive Y�� X77996 09/01/13 09/01/14 � ��FRCER/f1EMBER E<CLUDED� � N�A E L EACH ACCIDENT_ $ SOO�OOO (Mandalory in NH) E L.DISEASE-EA EMP�OYEE $ rJ0��0� If yes,desa�ibe under DESCRIFTION OF OPERATIONS below EL.DISEASE-POLICY�R•AfT $ SOO,OOO DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEMCLES (Attach ACORD 101,Additlonal Remaiks Schedule,i(more space Is required) CERTIFICATE HOLDER CANCELLATION ORONO-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Orono THE EXPIRATION DATE THEREOF, NO710E WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. P.O. Box 66 Crystal Bay, MN 55323 AUTHORIZEDREPRESENTATIVE /,+J_t`_'. (� _�"'�—/.-__-_. G' O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD