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^....iii LIBECOM OP ID:TN <br /> "COREY <br /> DATE(MM/DD vvYv) <br /> 4.......--- CERTIFICATE OF LIABILITY INSURANCE 10/12/2017 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br /> PRODUCER 651-209-9330 CONTACT Tim Newton <br /> Eagle Point Insurance PHONE <br /> 8665 Eagle Point Blvd. (A/C,No,Ext).651-209-9330 FAx 651_209-8332 <br /> Lake Elmo,MN 55042 E MAIL I(A/C,No): <br /> Tim Newton ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Secure Insurance 22543 <br /> INSURED LIBERTY COMFORT SYSTEMS,INC <br /> Liberty Heating&Air Cond DBA INSURER B <br /> 627 East River Road INSURER C: <br /> Anoka,MN 55303 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUBR <br /> LTR TYPE OF INSURANCE JNSO WVD POLICY NUMBER fMM/DD//YYYY1 (MM//DD//VYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY 1,000,000 <br /> EACH OCCURRENCE - $ <br /> CLAIMS-MADE I I OCCUR TC3198409 10/13/2017 10/13/2018 DAMAGE TO RENTED 100,000 <br /> A PREMISES(Ea occurrence) $ <br /> CP3198413 10/13/2017 10/13/2018 MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY Included <br /> GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 <br /> POLICY I I JECT I I LOC <br /> PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> ' OTHER: <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> ANY AUTO A3198410 lEa accident) $ <br /> 10/13/2017 10/13/2018 BODILY INJURY(Per person) $ <br /> _ AUTOSWNEONLY x SCHEDULED _ <br /> E AUTOS Ep BODILY INJURY(Per accident) $ <br /> X AUTOS ONLY X NON-O ONLY PROPERTY DAMAGE <br /> (Per accident) $ <br /> A X UMBRELLA LIAR X OCCUR $ <br /> EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE CU3198412 10/13/2017 10/13/2018 5,000,000 <br /> AGGREGATE $ <br /> DED X RETENTION$ 10,000 <br /> A WORKERS COMPENSATION $ <br /> PER <br /> AND EMPLOYERS'LIABILITY STATUTE ERH <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> (II WC3198411 10/13/2017 10/13/2018 500,000 <br /> FFICER/ME M EXCLUDED? I N/A E.L.EACH ACCIDENT $ <br /> EiCER M In�V 500,000 <br /> If yes,describe under E.L.DISEASE-EA EMPLOYEE $ r <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> A Property Section TC3198409 10/13/2017110/13/2018 <br /> A Builders Risk TC3198409 10/13/2017',10/13/2018 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> CTANOK1 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Anoka THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 2015 1st Avenue N ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Anoka,MN 55303 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) I <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />