2009-07-06 Cert. of Liability InsV (d LRbf ZL1L1!J UZ: 4tf 3LCIL� 1��Lr�c r�ivcEti� r iyt
CERTIFICATE OF LIABILITY INSURANCE
moo Agency Inc -
536 25th Aire 24axth
P.O. Box 459
St Cloud M 56302
phone; 320--253--7644
r27st Stagy' Curb & Concrete, Inc
1 Central Aver S
Watkins MJN 55389
•I : T rc; -
Y AND CONFERS NO RIGI#TS-UPDAI
,DER. THIS CERTIFICATE; DOES NOT
ER THE COVERAGE AFFORDED BY I
INSURERS AFFORDING COVERAGE
INSURER A; Al jimd
INSURER B; Stage Eland btu
INSURER C:
INSURER D�
THR POLI=-$ OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDE
ANY REOUIR&MGNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THM CERTIFICATI
MAY PERTAIN, THE INSURANCE AFFORDED RY THE POLICIES DEBGNWO HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AN
POLICIES, AGGREGATP, LIMITS SHO4vN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR NSR - - TypA OF INBURAN4P POUCYNUMBER nerE nrrv", 5L..-M-100-
GENERAL LiAb [1 '
A X Z I COM ERCIAL GENERAL LIABILITY ,AICP 7131773678
il :--m CLAIMS MADE 7OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER;
AUMINOMLE UASILITY
A X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTO&
HIRED AUTO
NON -OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
ACV 7131773678
EXCESS I UMRRLLLA LIABILITY
OCCUR ❑ CLAIMSMADE ) ACP 7131773678
DEDUCtIE LE
AN13 RLOYER&' LIABILITY
B NMIAMYPROPRIFTORIPARTNER:rq;ECUTtVqN 1 022748.203
OTHER
041/15/091 04/15/1t
04/15/09+ 04115/10
04/15/091 04/15/10
04/3.5/09 ! 04/15/10
DESCRIPTION OP OPERATIONS I LOCATIONS I VMCLES I RX-0 USONS ADDED BY I NI70R3E131ENT I SPECIAL PROW IONS
X'es CG2010: SaltonrMenk, Inc. and City of Albertville listed as sdcl
Insured per the generatl liability policy for Albert Villas 6th Addi
Sidewalk Tmpxovemantls, Albertv;,l.ie, W HMZ project No. R13.100766
CERTIFICATE HOLDER CANCEI LATION
SHOUO ANY OF THE ARIMM DESOMED POLMM Ere CANCELLED BEFORE THE p(FNRATIO
BOA DATE TRI?Raw, rm i8$mo INSURER WILL ENDEAVOR TO MAIL 10 0AY8 WRITtEN
Bolton & E4Mnk, Inc. NOTICH To THE CERTIFNCATC HOLDER MAMPO TO THE LEF`t,130T FAILURE TO 00 80 $HALL
E`0n&U1t3l.nC Engin"CO &SUrveyorg IMPOSE NO OBLIGATION OR LIABILITY CP ANY FUND UPON THN IPN;IURER, ITS AORNT$ OR
7533 Sunwodd Dri." Ems' RC-PRESENTATF/E$.
Suite 206 AU PRESENTATTAE
btemsay MN 55303
no OR
BELOW.
NAIC
The ACORD nams and "oare registered MW of ACORD
1VD. NOTWITHSTANDING
! MAY 86 ISSI IFA OR
3 CONOMICNE OF SUCH
t.illllt'TTS
EACH CJCQL RENCE $ 1000000
I PREMISES aoccurn
S I00000
MED EXP (Any atte person)
S 5000
Pi_ItSONAt &ADVINJURY
$ 1000000
GENERAL AQOREGATE
162000000
PRODUCT'S-COMi1IOPAGG'
$ 2000000
COMBINED SINOLE, LIMIT
(Ea aeddenl)
$1000000
130DILYINJURY
$
(Pnr Ft+rson)
BODILY INJURY
$
(Nr aaddan!)
PROPERTY DAMA13E
$
(Par Om Menl)
AUTO ONLY - EA ACCIDENT
S
OTHER THAN CA ACC
A
S
AUTO ONLY: AGO
EACH OCL,FIRRNvE
s 2000000
AGGREGATE 18
2000000
OTH
TORY LIAMTS SIR
E.L. EACH ACCIDENT
$ 500000
E,L,DIsEAm-mfiMPLOYES
#500000 T
E.L. DISEASE -POLICYLIMIT 8 500000
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tion