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<br />v, <br /> <br />n <br />i <br /> <br />" <br /> <br />fI- <br /> <br />Minnesota Joint Underwriting Association <br />445 Minnesota Street Suite 514 <br />St. Paul, MN 55101 <br />Phone: 651-222-0484 or 800-552-0013 <br />Fax: 651-222-7824 <br />CERTIFICATE OF INSURANCE <br /> <br />Named Insured <br />DIVERSIFIED INSPECTIONS, INC. <br />2100 269TH AVE NE <br />ISANTI, MN 55040 <br /> <br />This certificate of insurance is issued only to confirm that the policies of insurance indicated below have been issued to the <br />Named Insured shown above and those policies include the limits of liability and are effective during the coverage periods, <br />indicated below. This certificate confers no rights upon the certificate holder. The terms and conditions of coverage <br />afforded by the policies indicated are not amended, altered, or extended by this certificate. In the event of cancellation, <br />the insurer will endeavor to mail thirty (30) days written notice to the certificate holder prior to the effective date of <br />cancellation; in the event of cancellation for nonpayment of premium, the insurer will endeavor to mail a ten (10) day <br />written notice to the certificate holder. However, in no event shall failure by the insurer to provide written notice to the <br />certificate holder impose any duty or liability upon the insurer, its agents or representatives, nor will it delay cancellation. <br /> <br />Policv # <br />Ji00058 <br /> <br />Policv Period <br />11/16/2009 - 7/1/2010 <br /> <br />Tvpe of Insurance <br />General liability <br />-Occurrence Form <br />Professional Liability <br />-Occurrence Form <br /> <br />limits of Liabilitv <br />$300,000 per occurrence <br />$1,000,000 annual aggregate <br />$300,000 per occurrence <br />$1,000,000 annual aggregate <br /> <br />11/16/2009 - 7/1/2010 <br /> <br />The Minnesota Joint Underwriting Association is prohibited by law from offering coverage for products/completed <br />operations and environmental impairment (pollution). <br /> <br />Certificate Holder <br />CITY OF RAMSEY <br />7550 SUNWOOD DRIVE NW <br />RAMSEY, MN 55303 <br />/J .' ". f} (f <br />l ClJl.A..c.Jl l u.iL.t'.Jei'- 3' ,- <br /> <br />MJUA Authorized Signature <br /> <br />Date of Issue: 11/16/09 <br /> <br />A~encv <br />HERMANN INSURANCE SERVICES, INC. <br />PO Box 160 <br />6197 MAIN STREET <br />NORTH BRANCH, MN 55056 <br />