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NAIC M 22543 THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 'OLICIES• LIMITS SHOWN MAY HAVE BEEN EDUCED BY PAID CLAIMS. ,L1 SR IDOL SUER POUCYEFF POUCY EXP TR TYPE OF INSURANCE no pp POUCY NUMBER tA1M/OOIYYYYI IMMIDD/YYYYI UNITS EACH OCCURRENCE S DAMAGE TO RENTED' �''"'j PREMISES (La ooc zra,cel 3 A I I OP-003156589-9 11/18/201011/18/2011 MEDEEXP(Myanepvrsonl $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS -COMPIOP.AGG S CERTIFICATE OF LIABILITY INSURANCE 11DATE(MWDD/YYYY} /18/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 'CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE:R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER'' AND THE CERTIFICATE HOLDER.• IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION 18 WAIVED, subject to the tens and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsament(s)., PRODUCER Kraus -Anderson Insurance 420 Gateway Boulevard Burnsville 1111N 55331-2790 INSURED Landform Professional Services, LLC. cNu��NTFFAc�r Certificate Department pf(dNE . (952)707-8200 I FAIc,No1: (952)89040538 .aertificates5kainsurance.com R CUSTOMER ID o 00006299 INBURERI81 AFFORDING COVERAOR INSURERA:Becura Insurance INSURER a : INSURER C : 105 Fifth Ave. South IINSURER DI Suite 513 1INSURERE: Minneapolis MN55401 INFURERF: COVERAGE$ CF T1FIf;ATE NUII RER•30-11 Certificate REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIE� OF (NSURANC� LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR GENERAL UABIUTY X COMMERCIAL GENERAL LIABILITY CIAIMSaNADE OCCUR GEML AGGREGATE LIMIT APPLIES PER: X-I POLICY I (�I a [1 LOC AUTOMOBILE LIABILITY X ANY AUTO A _ ALL OWNED AUTOT • SCHEDULED AUTOS 1 X HIRED AUTOS ' X NON -OWNED AUTOS X 121 OCCUR CLAIMS -MADE • UMBRELLA UAB EXCESS LIAB A-003156590-9 _ DEDUCTIBLE A X RETENTInit A n . nnn CB-003156592 A WORKERS COMPEN ATION �+ f AND EMPLOYERS' LWILTTY O FFFF ICER/MEh BEER E aNUDE ITIVE Nn N / A (Mandatory In NH) . If yet describe under DESCRIPTION OF OPFRAota txilnot B Professional LT1iability $ 1,000,000 250,000 5,000 Included 2,000,000 2,000000 COMBINED SINGLE LIMIT $ 1,000,000 (Es eQd,Ant) 11/10/201011/10/2011 BODILY INJURY (Per person) 3 I BODILY INJURY (Per ecddant) $ PROPERTY DAMAGE $ (Per accident) 11/18/2010 11/18/2011 NC-003156591-9 11/18/2010 11/18/2011 cHR724124 11/is/2o10 11/1S/2011 DESCRIPTION OF OPERATIONS/ LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Sehadule, Irmom specs is required) CERTIFICATE HOI DER . FOR INPORMATIONAL PURPOSES ONLY rIANCF1.1ATI9N $ EACHOCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ . Y WC TATUQ I I Oat • E.L. EACH ACCIDENT S • 500.000 EL DISEASE - EA EMPLOYEE, $ 500,000 EL. DISEASE - POLICY LIMIT I $ .500. 000 Each Claim 2,000,000 AOg, ete 2,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE • 2. .7 Voerp.ter/CARLBY - ACORD 25 (2009/09) IN8025 (200909) ®198S-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD