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<br />ACORDlM CERTIFICATE OF LIABILITY INSURANCE ;i'r~Y} <br />PRODUCSl (763)323-8220 FAX: (763)323-8219 THIS CERnFICAlE IS ISSUED AS A MATTER OF INFORMAnON <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTFlCATE <br />Insurance Broker. of m, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />14a:k N.::Cutl'ley Agency InCl. AL1ER lHE COVERAGE AFFORDED 8Y THe.POl..lCIES BELOW. <br />646 E tiver Rd, ste 3 <br />boka HH 55303 <br />INSUltED <br />Con~rac~o%"s and Con5Ul~n~., Inc::. , <br />DBA: Rea\Qve-All <br />16038 Jarvis stz:eet NW <br />Elk River tIN 55330 <br /> <br />. <br />THE POUClES OF IN$IJAANCE LISTED BELOW HAVE eEEN ISSUED TO n-E INS~D NAMED />B<NE FOR ltIE POLICY PERIOD INOICAleI). NOlWI'JHSTANDlNGANY <br />FlEOUlREMENT. TERM OR CONOll1ON C:I' Am OONTAACT OR O'TtER DOCUMENT '141M RESPECT TO YMICH 1l1lS CERTIFICATE MAY BE ISSUED OR MAY PeRTAlN. <br />THE INSlIRANCE Afl'OROeO BY THE POLICIES OESCRlBEO HEREIN IS SUBJECT TO ALL lHE TERMS. exCLUSIONS AND CCt'l0l11ONS OF SUCH POUClES. <br /> <br />S TYPl!Ol'INSURAMeI! POLICYMUMBER ~;~<il~IP%'5JI~' UNITS <br />~At.t.IABILllV ~ $ <br />..!. CQMMERClALOBERAl..LlIIBILlT'f ~, S <br />_LlCLAIMSM~ [!]<ICC\m FS4282 ~J13/Z008 6/13/2010 MEDEXP'AIw_.........' $ <br />_ ~ v $ <br />...-..., AGGIlI!(;ATI! S <br />- $ <br /> <br />(7'3) Ul-'7407 SIfOULD .ulY 0' THI! AI!lOIII! IlI!:SCIlIll!D POIJCII!$ III! CANl%Lt.I!O I!IeI'OIlI! T~ <br />Ci ty of Ramlsey El<I'IRAtION DA1li tHEllI!Of. THE IS$UIfG IHSl.lI'lEfl WILL ENDEAVOR 10 MAIL <br />7550 SUn Wood Drive NW ~ DA'l'S WRITTEN IlOTlCE TO THE CEltT1flCA.TE HOLIlEl't NAMED TO THE LEFT. BUT <br />atuuey, Hlt 55303 FAlLUflETO DO SO SHALL IMPOSEHO OM.IGATIOM 011 \,IA\lILfNOF i'M'I KINOUPOlnHE <br /> INSIIRER IT$AGen$ORREPR~Anves.. <br /> Al/1tIOIlIZI!D RS'ftfSeNl'ATM:: <br /> <br />Fm:MyFax -Insurance Brokers of Minnesota To:Bev (17634217407) <br /> <br />10:08 OS/04/09GMT -05 Pg 01-02 <br /> <br />t1SURERS AFFORDING COVERAGE <br />1~1..Acu1tv <br /> <br />HAle # <br /> <br />INSuftER e- <br /> <br />ItI$URER;C- <br /> <br />ItlSURER 0- <br />~e- <br /> <br />A <br /> <br />A <br /> <br />- <br />~AGGRm~~~~sPm <br />X 1....,lt'y I I roB"T I I....... <br /> <br />~lITOMClIllLE UABLIT'i <br />I--ANYAUTO <br />....... .o.u. OWED NftOS <br />.!... SCHEOIJI.EO AUTOS <br />.!... HIRED AUTOS <br />.!... ~ov.tJED AUTOS <br /> <br />PRct'ERTY DAtJlI'.GE <br />(ht~iloIlI) <br /> <br />COM$IHEO SKiLE lIMrT <br />(l5aacddont) <br /> <br />6/13/2010 <br /> <br />~/U/2008 <br /> <br />IlOOILY IN~ <br />tp......-) <br /> <br />FS4282 <br /> <br />80CilL v IN.IUR't' <br />(J>.r accidont) <br /> <br />~IlAGl!UABLlTV <br />-; ANY AUTO <br /> <br />A!J1"OOtlLY -e"ACC1CJENf S <br /> <br />OTHER THAN t:u"~ $ <br />AUTO 01''' y. AM' S <br /> <br />$ <br /> <br />I!XCI!iSS/\lMBllI!I.LA UABLITY <br />:!j'0CClJR [!] CLAIMSMADE <br /> <br />=i D&DUCTIBlE !L <br /> <br />A WORl(ERSCOfAPENSAllOnAlfO <br />eMPLOYERS" UA8Il.rrI <br />AAy~ORlt>~unVE <br />OI'FICEAA1MER elt.CLIJ~ FS4282 <br />~~...- <br /> <br />OtllSt <br />A :Buildinq FS4282 <br /> <br />6/13/2008 <br /> <br />6113/2010 <br /> <br />$ <br /> <br />$ <br />S <br /> <br />~I~$ <br /> <br />E.L. EACH ACCII:lliNT $ <br />E.L. OISE"-"" - E,l, EI.4I'I.OYEE $ <br />'" "'''''A''''. $ <br /> <br />AGGREGATE <br /> <br />valli. :zn ."-1 <br /> <br />6/13/2008 <br /> <br />6113/2010 <br /> <br />DESCI'llPlJOl(OFOI9A1lON$II.OCA~CLU8lONSADtlED&Y~L l'Ilo\ll$lClN$ <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />1,000,000 <br />100,000 <br />25,00C <br />1,OOO;OOC <br />2,OOO,OOe <br />2,000,000 <br /> <br />$ <br /> <br />1,000,000 <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />500,000 <br />500,000 <br />SOO,OOO <br /> <br />ACORD 25 (1001/08) <br />INSOZS {01Q8}.~ <br /> <br />tOl ACORD CORPORATION 1938 <br />P.1 d2 <br />