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� ' ' <br /> ' - , . <br /> , . . <br /> ,. . <br /> CERTIF�CATE OF INSURANC� <br /> LIABILITY & �'URKERS' COMPEN'SATION <br /> This certi�cate is issued as a matter of inforntation oniy And confers no rights ttpon the certiftcate holder. This <br /> . certi6cate does not amcnd,extend os alter the coverage afforded by the policies listed below. ' . <br /> • PRQJECT: • <br /> CERTIFfCATE HOLDER&ADbITTONAL ZIVSURED: City of Orono � <br /> , ADDRESS: 2750 Kelley Parinvuy . <br /> . � Oroao,Minnesota 55356 <br /> • ARCH/ENGR: <br /> 1NSURED: ADDRESS: <br /> AGENT:' • ADDRESS: � <br /> . � ' , - <br /> W�RK�RS'COMP�NSATTON COVERAGE , <br /> POLICY# EFl�'�CTIVE DATE / / EXf'TRATION DATE / / <br /> INSURANCE COMPANY: <br /> � � • 4 <br /> COVERAGE-Wartcers'Compensation,Stahitory.Empioyers'Liability Limit <br /> � �ach Acaident $ Disease Policy Limit $ Disease Employee Limit <br /> (5500,000 Policy limit applics to both accident end disease} ' <br /> , . ' . . i <br /> ' GENERAL I,iABTLITY <br /> POLJCY# EFFBCTIVE Dr1TB / / �:�IRATION DATE / / <br /> INSURANCfi C01viPANY: . <br /> . ( )Clflims Mude ( }Occarrence ( }O�vrter's�Yc Coniractors Pratective ( )Other <br /> LIi�fITS: ' <br /> General Aggregate Limit(Other'fban Products-Completed Operations) $ <br /> • Products•Completed Operations AggregattLimit . S . <br /> Parsonal&Advertising Tnjury Limit � � � <br /> Each Occurrence $ • <br /> 152891 v03 22 ORONO;Krtrr�'ilvo <br /> SMM/sm:r07/23/2QI4 (Mdrade Land Company I MacKinnon) , <br />