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Client#: 172 <br />BONEROSI <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <br />01/06/06 <br />PRODUCER <br />MN-A/E <br />COBB STRECKER DUNPHY & ZIMMERMANN <br />150 S FIFTH STREET STE 2800 <br />MINNEAPOLIS, MN 55402 <br />INSURED <br />BONESTROO ROSENE ANDERLIK & ASSOCIATES <br />2335 W HWY 36 <br />ST PAUL, MN 55113 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURER A. CINCINNATI INSURANCE COMPANY <br />INSURER B: STATE FUND MUTUAL INSURANCE CO <br />INSURER C: CINCINNATI INSURANCE COMP <br />INSURER D: <br />INSURER E: <br />NAIC # <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSH AUD't <br />LTR INSRC <br />TYPE OF INSURANCE POLICY NUMBER <br />A GENERAL LIABILITY CPP0669142 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE Ti OCCUR INCLUDES: <br />X XCU OPERATIONS OF <br />X BROAD FORM SUBS -CONTINGENT <br />GEN'L AGGREGATE LIMIT APPLIES PER: CONTRACTUAL LIAB <br />POUCY n JECOT- n LOC <br />A AUTOMOBILE LIABILITY CAA5426450 <br />X ANY AUTO <br />ALL OWNED AUTOS <br />A <br />_ SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />GARAGE UABILITY <br />ANY AUTO <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR n CLAIMS MADE <br />DEDUCTIBLE <br />X RETENTION $ 0 <br />B WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />C OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />CPP0669142 <br />010652211 <br />MINNESOTA ONLY <br />WC896071011 <br />ALL OTHER STATES <br />POLICY EFFECTIVE <br />DATE (MM/DD/YY1 <br />01/01/06 <br />POLICY EXPIRATION <br />DATE (MM/DD/YY1 <br />01/01/07 <br />01/01/06 01/01/07 <br />LIMITS <br />EACH OCCURRENCE <br />RENTED <br />n:1 <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />BODILY INJURY <br />(Per person) <br />BODILY INJURY <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT <br />OTHER THAN <br />AUTO ONLY: <br />EA ACC <br />01/01/06 01/01/07 EACH OCCURRENCE <br />01/01/06 01/01/07 <br />01/01/06 01/01/07 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />CERTIFICATE HOLDER <br />SAMPLE <br />AGGREGATE <br />AGG <br />X I ORY L MITS I IOTH- <br />R <br />E.L. EACH ACCIDENT <br />I E.L. DISEASE - EA EMPLOYEE <br />I E.L. DISEASE - POLICY LIMIT <br />$1.000,000 <br />$500,000 <br />$5,000 <br />$1,000,000 <br />$2,000,000 <br />$2,000,000 <br />$1,000,000 <br />$4.000.000 <br />$4,000,000 <br />$100,000 <br />$100,000 <br />$500,000 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL gligammum MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,slagammagoodoetsaa <br />)10812_R)IR,..is ,:a4 ,.1.a. 1XXIVIXXXX K)®11XX1FrIRXJRIQA,I, du ldli . ,6 : ,l[R)lmatoc9f7BCXX <br />ACORD 25 (2001/08) 1 of 2 <br />#S208345/M207616 <br />40 : pILlu a a i.,i:fOC <br />AUTHORIZED REPRESENTATIVE <br />JLL <br />© ACORD CORPORATION 1988 <br />