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�`��- CERTIFICATE OF LIABILITY INSURANCE 3i2ii2o°�"' <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFtCATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BE�OW. 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 t7TA T Re lTld Bunker <br /> NAA1 : g <br /> Ross Nesbit Agencies, Inc. �q����� E� . (952)941-9418 FA� �� : (952)941-9615 <br /> 7500 Flying Cloud Drive #950 Ao R�esS•=bunker@pauletslater.com <br /> PROGUCER 00015343 <br /> cusroreeR <br /> Eden Prairie MN 55344 It75URERS AFFORDINGCOVERAGE NAICN <br /> �NsuReo iNsuRERA:United Fire 3021 <br /> INSURERB:Tt10 Builders Grou <br /> OstvicJ Tree Service, IT1C. INSURERC: <br /> 1161 East Wayzata BZVd. INSURERD: <br /> Suite 311 iNSURER E: <br /> Wayzata MN 55391 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:11-12 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT T11E POLICIES OF INSURANCE LISTED BELOW HAVC BEEN ISSUED TO THE INSURED NAMED AE30VE FOR THE POIfCY PERIOD <br /> INDICATED. NOTIMTNSTANDING ANY REOUIREMENT, TERti1 OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NMICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED NEREIN IS SUBJECT TO AlL TNE TERMS, <br /> EXCLUSIONS AND CONDfT�ONS OF SUCH POLICIES.LIMITS SHOWN A1AY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR 7ypE OP INSURANCE � POUCY NUt.18EP AIM/ODY� �O�n�Y EXP UfAfTS <br /> LTR <br /> GENERAL UABILITY EACH OCCURRENCE 3 1,O00,OOO <br /> X COMMERCIAL GENERAL LIA�KITY PREMISES Ea ocT rrence S 100,000 <br /> A CLAIMS�MAOc �OCCUR 60370652 /12/2011 /12/2012 �,�EDEXP�Myaneperson) S 5,00� <br /> PERSONAL 8 ADV INJURY S 1,OOO,OOO <br /> GEHERAL AGGREGATE S 2,000,000 <br /> GEN'L AGGREGATE LIR1R APPUES PER PRODUCTS•COA�P/OP AGG S 2,000,000 <br /> X POUCY PRa LOC S <br /> AUTOMOBtLE LIABILITY COt.18�NED SINGLE UMR <br /> �Ee�N� S 1,000,000 <br /> X ANY AUTO <br /> A AlL OWNED AUTOS <br /> 0370652 /12/2011 /12/2012 �d01tYINJURY(Perpeison) S <br /> BOOiLY INJURY(Per accdent) S <br /> SCHEDULEO AUTOS <br /> PROPERTY DAAIAGE s <br /> X IiIRED AU70S (Per eccdenl) <br /> X Nor�•ot�eo nuTos Uninsured mdorist canbined s 1,000,000 <br /> PIP-Besic S <br /> X UMBRELLALIAB OCCUR EACHOCCURRENCE S 3,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S 3,OOO,000 <br /> DEDUCTIBLE S <br /> A X RETENTION s SO 000 0370652 /22/2o1i /iz/zoi2 s <br /> B VJORKERS COIAPENSATION X YvR STATU- OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETORlPARTNER/EXECUTIVE❑ N�A E L.EACH ACCIpENT f 1 OOO OOO <br /> OFFlCERiME6.'BER EXCLUDED? <br /> (�.landa�ory in NH� 8-0000474 /1/2011 /1/2012 E l Oi5En5E•EA Er.4PLOYE , 5 1 000 000 <br /> n yas,oasuiDe urwar <br /> DESCRIPTION OF OPERA710NS bebw E.L.DISEASF.•POLICY LIM(T S 1 000 OOO <br /> A Rented Leased Equipment o3�0652 /12/2011 /1z/2oi2 Lmit 100,000 <br /> oea $500 <br /> DESCRIPTION OF OPERATIOfIS!LOCA710NS I VEHICI_ES (Auach ACORD 101,Additional Remarks Schedule,if mare space Is requirod) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVEREO IN <br /> To Whom it May Concern ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Wayne Nesbit <br /> ACORD 25(2009/09) O 1988-2009 ACORD CORPORATION. All rights reservecf. <br /> INS025�2�t The ACORD name and logo are registered marks of ACORD <br />