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Minnesota Department of Labor and Industry Licensing and Certification Services <br /> Construction Codes and Licensing Division Phone: 651.284.5034 <br /> 443 Lafayette Road N Email: DLI.License@state.mn.us <br /> Saint Paul,MN 55155 Website: www.dli.mn.gov/ccid.asp <br /> NOTICES <br /> NOT TRANSFERABLE REVISION LLC <br /> CHANGE YOUR BUSINESS STRUCTURE 153 LAKE ST E <br /> SUBMIT A NEW APPLICATION FOR NEW ENTITY WAYZATA, MN 55391 <br /> RENEW OR REPLACE INSURANCE POLICY <br /> SUBMIT NEW CERTIFICATE OF INSURANCE <br /> NOTIFY THE DEPARTMENT OF A CHANGE IN YOUR BUSINESS. <br /> Failure to do so,subjects you to administrative penalties of up to$10,000. <br /> 15-Day Notice Requirement—Forms available online at www.dlf.mn.gov/CCLD/LfcUpdate.asp <br /> • Change in business'physical address,mailing address,phone number,or email address <br /> • Change in control,owners,officers,directors,members,partners <br /> • Change in business'legal name and/or assumed name <br /> • Loss of or change in QUALIFYING BUILDER <br /> • Change in general liability insurance or workers'compensation insurance coverage <br /> Immediate Notice Requirement—Notification to DLI in writing <br /> • Judgment Debtor. A licensed contractor has 15 days to provide written notice of the finding that it is found to be a judgment <br /> debtor based upon conduct requiring licensure, <br /> • Bankruptcy Petition Filed. A licensed contractor has 15 days to provide written notice that it filed a petition for bankruptcy, <br /> • Conviction Notice. A licensed contractor has 10 days to provide written notice that it has been found guilty of a felony,gross <br /> misdemeanor, misdemeanor or any comparable offense related to the license, including convictions of fraud, <br /> misrepresentation,misuse of funds,theft, criminal sexual conduct,assault,burglary,conversion of funds, or theft of proceeds <br /> in this or any other state or any other United States jurisdiction, <br /> YOUR CERTIFICATE IS BELOW THE PERFORATION. SHOW CERTIFICATE WHEN OBTAINING PERMITS. <br /> MINNESOTA DEPARTMENT OF RESIDENTIAL BLDG CONTRACTOR <br /> LABOR$t INDUSTRY <br /> Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road N St Paul,MN 55155 <br /> Website: www.dli.mn.00v/ccld.asa Email dli.license(astate.mn.us Phone 651.284 5034 <br /> This is to certify that the certificate holder is licensed as a RESIDENTIAL BUILDING CONTRACTOR in the state of Minnesota and is in <br /> compliance with Minnesota Statutes 320.805,and may build residential real estate,contract or offer to contract with an owner to build <br /> residential real estate,and contract or offer to contract with an owner to improve existing residential real estate;provided the <br /> responsible individual is at all tunes a QUALIFYING BUILDER arid the certificate holder maintains compliance with the required general <br /> liability insurance,and workers'compensation laws. <br /> License : RESIDENTIAL BLDG CONTRACTOR <br /> Lic Number : BC639027 REVISION LLC L <br /> Effective Date : 04/01/2016 I <br /> a <br /> 153 LAKE ST E <br /> Expiration Date : 03/31/2018 WAYZATA, MN 55391 C <br /> T <br /> VERIFY UP-TO-DATE STATUS,BOND,AND INSURANCE INFO AT www.dli.mn.gov/ccld/LicVerify.asp (ENTER NUMBER). <br />