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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 <br />L - <br />TYPE OF INSURANCE <br />ADDL <br />, : <br />SUER <br />,► . <br />POLICY NUMBER <br />POLICY EFF <br />„ipD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />OCCUR <br />BP 003156589 - 9 <br />11/18/2010 <br />• <br />11/18 /2011 <br />EACH OCCURRENCE <br />9 1,000,000 <br />X <br />DAMAGE To <br />PREMISES (Ea <br />$ 250,000 <br />CLAIMS -MADE <br />X <br />MED EXP (Anyone person) <br />5 5,000 <br />PERSONAL & ADV INJURY <br />$ Xncluded <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEIdL AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP ,AGG <br />$ 2 , 000 , 000 <br />X POLICY PRO- T LOC . <br />A <br />• <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNEDAUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />a- 003156590 -9 <br />11/18/201011/18 <br />/2011 <br />• <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />• <br />PROPERTY DAMAGE <br />(Per accident) <br />X <br />X <br />$ <br />$ <br />A <br />X <br />UMBRELLA LIAO <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS - MADE <br />CU- 003156592 <br />11/18/2010 <br />11/18/2011 <br />EACH OCCURRENCE <br />$ 5, 000, 000 <br />■ <br />AGGREGATE <br />$ 5,000,000 <br />DEDUCTIBLE <br />RETENTION $ 10,000 <br />$ <br />X <br />$ <br />A <br />WORKERS COMPENSATION <br />A EMPLOYERS' LIADIUTY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />It yyes de serts nder <br />DEStRIPTION <br />YIN <br />NIA <br />ITC- 0 03156591 -9 <br />• <br />11/18/301011/18 <br />/1011 <br />Y INC STATLJ- 1 T <br />ER <br />E.L. EACH ACCIDENT <br />$ 500,000 <br />N <br />E.L. DISEASE- EA EMPLOYEE <br />500,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 500, <br />E <br />Professional Liability <br />LHR724124 <br />• <br />11/18 /2010 <br />11/18/2011 <br />Each claim 2,000,000 <br />Agpregete 2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />• <br />• <br />A a'D <br />• <br />CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATE 18 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(les) must be endorsed. If SUBROGATION 1S WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s <br />PRODUCER <br />Kraus - Anderson Insurance <br />420 Gateway Boulevard <br />Burnsville MN • 55337 -2790 <br />INSURED <br />Landform Professional Services, LLC. <br />105 Fifth Ave. South <br />Suite 513 <br />Minneapolis <br />MN 55401 <br />NOAINJIHACT Certificate Department <br />HOONo.E><U. (952)707 -8200 II N -0535 <br />E -MAIL <br />ApDRESS: certificatesekainsurance.com <br />PRODUCER 0 0006299 <br />CUSTOMER ID M: <br />INSURERS) AFFORDING COVERAGE <br />INSURER A :SeCura Insurance <br />INSURER B : <br />INSURER C : <br />INSURER D <br />INSURER E <br />_.INSURER P : <br />NAIC 8 <br />22543 <br />COVERAGE <br />CERTIFICATE HOLDER <br />. FOR INFORMATIONAL PURPOSES ONLY <br />ACORD 25 (2009/09) <br />INS025 (200909) <br />CERTIFICATE NUMBER:10 -11 Certificate <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE • <br />Voereter /CARLEY <br />REVISION NUMBER: <br />DATE (MMIDDJYYYY) <br />11/18/2010 <br />®1988 -2009 ACORD CORPORATION. Ali rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />