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, A`�� CERTIFICATE OF LIABILITY INSURANCE ei3i�2o��' 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 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 CONTACT C@Lt1f1C3t2S De artment NAME: P Kraus-Anderson Insurance PHONE (9S2)�IO7-B2OO q/C No: (952)690-0535 420 Gateway Boulevard EpA�� .Certificates@kainsurance.com INSURER S AFFORDING COVERAGE NAIC# �Burnsville MrI 55337-2790 wsuReRn:Cincinnati Insurance Com anies �INSURED INSURERB AI[1221C3I1 Com ensation Ins. Co. 45934 �Ray N Welter Heating Company INSURERC: 4637 Chicago Avenue INSURERD: I . INSURER E: ?Minneapolis MN 55407-3512 INSl1RERF: COVERAGES CERTIFICATE NUMBER:12-13 Certificate 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 SI-IOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE ADDL SUBR pOLICY NUMBER MM/�DYIYYYY MM/DD/VYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1�OOO�OOO X COMMERCIALGENERALLIABILITY PREMISES Eaoccurrence S SOO,OOO A CLAIMS-MADE �OCCUR PP0099789 9/1/2011 9/1/2014 MEDEXP(Anyoneperson) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PR� LOC $ AUTOMOBILE LIABILITY COMBWED SWGLE LIMIT �.� Eaaccident $ 5�� �, X ANY AUTO BODILY INJURY(Per person) $ ��'A ALLOWNED SCHEDULED BA 009 97 69 9/1/2012 9/1/2013 � AUTOS AUTOS BODILY INJURY(Peraccident) $ � NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Peraccidert $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1�OOO�O00 �..A EXCESSLIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTIONS 0 PP0099789 9/1/2011 9/1/2014 $ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY YI N ANY PROPRIETOFLPARTNEWEXECUTIVE E.L.EACHACGDENT $ SOO OOO OFFICER/MEMBEREXCLUDED? � N�A C-WC-005077-1 9I1/2012 9/1/2013 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500 000 If yes,describe under DESCPoPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD'101,Additional Remarks Schedule,if more space is required) RE: All work performed by the insured on behalf of the certificate holder. ( 0 JCERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Orono PO Box 66 27rJ� Kelley P3Z'�CWBy � AUTHORI2EDREPRESENTATIVE Crystal Bay, NIN 55323 Jim Klym/MATTK � � ACORD 25(2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025�zo�ooa�oi The ACORD name and logo are registered marks of ACORD