Laserfiche WebLink
� ! <br /> �4C4Rt�, ��RTIFIGAT� C�F LIABIL,ITY INSUf�ANCE 07/14/20Q5' <br /> . PRODUCER (gs�)448-3800 FAX (9S2)4�i8-3304 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Gasual ty Assurance Inc ONLY AND GON�ERS NO RIGHTS UPON THE C�RTIFICATE <br /> HOLDER.TMIS CERTIFICATE DOES NpT AMEND,EXTEND OR <br /> 101 West Thi rd Street ALTER THE COYERAG�AFFORDED BY'THE POLICIES BELOW. <br /> PO Bax 38 . � <br /> ChdSka, N0V 55318 INSURERS AFFORDING CQVERAGE NAIC l! <br /> iNsuaEo Watertown Sheet Metal �NeuRERn: Ineegrity Mutual Insurance Co _. <br /> I�FT3O N� 7 WSLIR[RB: __ <br /> Mayer, MN 55364 �NsuReRc: _ <br /> INSUR[R D: <br /> IN.4tJRER 6: <br /> COVERAGES • <br /> TH�P4lIC1ES OF INSURANCE IISTED 6ELOW HAVE REEN ISSUED TO 7HE INSURED NAMED ABOVL-"fOR THE POLICY PERIOD INPICATED.NQTWITNSTANDIIVG <br /> ANY REQUIREMENT,TERM OR CONDI'TtON OF ANY COh1T'RACT OR OTHER DOCUMENT 41fl7H RESPECT TO WHICH THIS CERTIF�CATE MAY B�ISSUED OR <br /> MAY PERTAIN,Ttt�IPISUR/+NCE AFFORDED BY 7HE PQLICIES DESCRII3ED HEREIN IS SUBJECT TO AL�THE TERMS,EXCLUSIONS AND CdNDITIVNS OF SUCH <br /> POL{CIES.AGGREGATE LIMITS SNO�NN NIAY HAVE BHEN REPUGED 8Y PA�D CIAIMS. . <br /> 1 R Off TypE QF INSURANCE POLICY NUMBER ��Y�FECTIVE POLICY 6 IRATtQN LIMITS <br /> cErrer�a�unsnm ��� � 950903 09/30/20Q�4 Q4/30/2005 CACM OCCURRENCE a l,00U,4�4 <br /> X COMMERS:IAL GFNSRN.LIAOIUTY I'�AMACE TO R[NTED S SO�OO� <br /> R.FMISES{ <br /> �GAIMS MMF a OCCUR MCO EXF'(AnV ona(urso�+) r 5,Q(I() <br /> A PCRSONAL&AOV INJURY E 1 QdQ s(3(IO <br /> — �� (;GNCRAI ACCRtC+ATF S Z UO(j�OOO <br /> CENL AGGRfi6ATC LiMIT APPLI£S FEP' YfiO�TS•COMPIOP At3G i Z,d0���Qt} <br /> PCJUCY l '�E�-�7 n lOC <br /> auro�oai�e uneairv 9509Q3 09/3U/2004 09/30/20Q5 COM91NtU S�NGLE LIMIT <br /> tea axineml S 1,000 OQO <br /> J( ANY AUTp ,. _ <br /> ALL UNME�AUTOS Bpp1LY INJUFtY L <br /> SCHEDULEO AUTO.S (Per pereonj _ <br /> A - <br /> x 1 IIRCD AUTUS �ODtLY INJURY s <br /> X NONOWNEOAUIOS t�r���) _.. <br /> FAOP�RTY DAMAGE & <br /> . {Pqr accidm�ty <br /> . .. .GARAGE UAB1LtTY ^ .. . . � v AUTO ONIY-FA ACCIDChT 3 - <br /> ANY AUTO Ul'MtFt 1'HAN �ACC S <br /> AUTOONLY: AGG S <br /> _.... ._.. . . <br /> EXGE$S�UMBRELLAUABIUTY 950903 09/30/200� �5�3��Z��S EACHOCCURhttNCF. 5 <br /> }� nCCUR �CINAdS MADG AGC'REGAT[ . S I,iUOU�O�Q <br /> A .. a. • <br /> �EDUCTIBtE ' <br /> RETCNTION E a <br /> wowcERscoMPensAraNnNo 950903 p9/30J2004 09/30/2405 X RviMl�s. `�r`�_ . _. <br /> EMPLOYER9'LIABILITY E.L.FACH ACC,If7ENT 3 SO{I OUO <br /> A ANY PROPRIETUHIPARTNER/GXCCUTIVE "' <br /> OF!'ICERIMEMBtfi FXf;I.t1DE07 E.L.U18t0.SF_Fl�EMPLOYE S SOO OO <br /> ir g�x,��;��naer e.�.aSeaSE.atxicv i�r�ir s 500 OOq <br /> SPECIAL f ROV�SIf1NS qalow ., . . .. <br /> qTNER <br /> DESCRIPTION OF OPERATIONS!LOCATIQNS!VEXICLES 1 EXCLUSIONS AOOEO BY ENDOR9EMEfiT 1 S <br /> � r. <br /> CFF�TIFICATE HOLDER c ---- <br /> fiHOtiLD ANY OF THE A80YE GE5GR�8ED POLICIES BE CRNCEl4E0 BEPORH THE <br /> EXPIRATION DATE THEREOF,'YHE t6&UING INSURER WILI.ENOEAVOR TO MAII <br /> 3O DAYS WRI7TEN NOY1C&TO THE CERTIFICATE HOU7LR NAMED TO THE LEfT, <br /> Gi ty of Orono BUT FAILURE TO MAIL SUCN NOTtCE SNALL IMP09E NO O�UGATION OR LIABILITY <br /> PO BOX E� OF ANY KIND UPON TNE INSURER,ITS AGENT9 OR R8PAE8ENTATIVE3. <br /> Crystal 6�y, MN 55323 AUTNORIZEUREPRE9ENTAl1V� ;Y'�1��+."1�.�;y}�<<;�;�`` <br /> Jene Smith ]MS <br /> ACGRD 2S{2oo�ros� 4ACORD CORPORATION 1968 <br /> �7-14-20�5 �2:40 WRTERTQWN SHEET METAL �52 657 2553 PAGE:1 <br />