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Apr 0615 02:34p Legend Services Inc 763-479-6003 p.5 <br /> 04/03/2015 12:24:38 PM 507--455-8200 Page 4 <br /> ® DATE pedwerfrm <br /> '�� CERTIFICATE OF LIABILITY INSURANCE D15 <br /> THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR ItEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATFVE OR <br /> PRODUCER,AND THE CERTIFICATE HOIDEN. <br /> IMPORTANT: if the cerMicate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVEDr talbjed to the terms <br /> aW eonMtlans of the policy,Certain policies may reWire an endorSerwtt.A statement On this eu"wte does not confer rifts to the Certificate 110ldOr <br /> In lieu of such endorsemett s. <br /> PRODUCER NAME CLIENT CENTER <br /> FEDERATED MUTUAL INSURANCE COMPANYPNaNE� A N NO :5D7-446 4 <br /> HOME OFFICE:P.O.BOX 328 I'M <br /> Ma1L <br /> OWATONNA,MN SSOW INC CE` .CI7 <br /> INBMRERS AFFORDING COVERAGE MAIC III <br /> INsuRER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 <br /> INSURED 289-342-a INSMRSR B: <br /> LEGEND SERVICES INC INWRERC: <br /> PO BOX 392 INSMRER D: <br /> LORETTO.MN 55357 <br /> INSURER E: <br /> INI MRER T1 <br /> COVERAGES CERTIFICATE NUMBER:14 REVISION NUMBER:0 <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABCVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE;AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALLTHE TERMS,EXCLUSIONS <br /> AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INGR TYPE OF INSURANCE ML �R POLICY NUMBER POipperryY-ICY EFF POLICY K� l@:AITS <br /> EACH OCCURRENCE S110001wD <br /> GENERAL LIABILITY <br /> DAMAGE TO RENTED $10D,D00 <br /> COMMERCIALOENERAL UASILITY <br /> CLARTS•AIADE OCCUR NIED ENP CMy am persdnl <br /> N N 9869242 0.5/1412014 05114I201S PERSOYAL.6ADVINARY SiA00,COD <br /> X BLRLINESS OTINEIYS UASIUTY $2,000,000 <br /> GENERAL AGGREGATE <br /> OENL AGGREGATEU[J07 APPLIES PER: PRODUCTS-COMPIOP AGO $2,000,000 <br /> X POLICY P RCO LOC <br /> AUTOMOBILE LIABILITY COMBINED&DiOLE LUd-- 51,000,OOD <br /> X ANY AUTO BODILY WJURY{Por person) <br /> AL,OWNED SCHEDULED <br /> A AUTOS AUTOS: N N 9869243 OV1412014 05/14/2015 BODILY eVJUAY/Por GCC <br /> NON•OWIEa ROPE TY AMAOE <br /> HIRED AUTW AUTOS <br /> UMBRELLA LWB OCCUR EACH OCCURRENCE <br /> EXCESS LIAR CLAIMS-MADE ADOREOATE <br /> DED I JPET-EwioN <br /> WOR G6R6 COMPENSATION X TD�RY MIT' OER� <br /> AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $5001000 <br /> ANY PROPRIETORMARTNERWECUTNE RIA N 9869244 05!1412014 0511$/2015 <br /> A OFfICER1HRABER EKCLUOELYI E.L.DISEASE-EA EMPLOYEE S500,000 <br /> IMendewryIn RHI <br /> N yes,d, rlbe wder 6.L DISCASE•POLICY UMPT $5001000 <br /> DESCRIPTION OFOPERATIONS bel&w <br /> DESCRBITION OF OPERATION&r LOCATIONS I VEHICLE&/Abet,ACORD 101,Add)0amd Remarks&cheam,II mon Tom b r"wrsal <br /> CERTIFICATE HOLDER CANCELLATION <br /> 289342-8 140 <br /> CITY OF OROIVO SHOULD ANY OF THE:ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> LEY PKWY THE EXPIRATION DATE THEREOF, NOTICE tARLL BE DELIVERED IN <br /> 2750 KELLEY <br /> 27SO KE 55356.9387 ACCORDANCE'WITH THE POLICY PROVISIONS. <br /> OROAUTHORIZED REPRESENrATfVE <br /> ® 10B.20tD ACORD CORPORATION.All rlghts reserved. <br /> ACORD 25(2010105) The ACORD dame and logo are registered marks of ACORD <br />