1994-05-06 Insurance Cert
. . .
lNITED FIRE & CASU\lJY COMPANY UNITED LIFE INSURANCE COMPANY
118 Second Avenue, S.E., Post Offi~e BOx 73909 Cedar Rapids, Iowa 52407
A STOCK ("':OMP ANY
CONTINUATION CERTIFICATE
for
SEWER I NSTALLE~_
THE UNITED FIRE & CASUALTY COMPANY. (herelnaft.er called the
Company) hereby cont Intlcs In force I t.,; .fsQ.n,d,.RQ~__':'..~LJ.!L?Jif~,,?, in the
sum 0 fT.WQ.,_.TltQ!I~ltNQ.__RgJJ.~.L~ (!,_?L9..QO_~9Q J. on behalf 0 fK.~.N.~~9
QQl-U'i,Tj<!)Q1:"LQN.L,JN<;',.. 1 n fa vo r 0 f ~~J.TL. Of., J\.61}J:,gVJJ.1r:..._.M..N for the
[extended) terms beginnIng on the,~J~J:!_,Qil'y_,g,L__A1J_G.~EI_J9;2_.tL and
I~ n din q ,) n t. h e ~JIQ ,.,_c.La,Y_..QL,A., l,I~\}$.J:._J !) 9.5 . sub J e c t t 0 a lIt h e
covenants and conditions of said Bond,
This ContInuatIon IS executed upon the IJxpress condltlon
that the Company's IIabllltv under ~;ald Bond and thIs and all
C I) n tin tl a t J I) n 5 the reo f s h a i j not bee um u I a t 1 ve un d :J h a 1 J Inn 0
even t exceed the sum 0 f :r,WO_J:tiOlll;..t\.NR.QQLl.€LL,S f!_.1L..,!H1.Q,.",Q,V
IN WITNESS WHEREOF, the Company has caused lh.l5
to be signed by its AttorneY-in-fact and its corporate
her e t 0 a f fix e d t h J s fLTJi. ._.<:.i~Y .... oJ. .,.M.A Y.. J..~ ~~. '
Instrument
seat to b.~
UN I TED fiRE & CASUALTY GOMP.ANY
..~~~;;~i
~~~.~n
At torn(!Y-Jn-fact
PI-:I: 319.399.5700
FAX: 319.399.5499
STATE OF
COUNTY OF
(INDIVl*AL OR PARTNERSHIP ACKNOWLE1jENT)
ss
)
On the day of
a Notary Public within and for said county, personally appeared,
,19
, before me,
to me known to be the person(s) described in and who executed the foregoing instrument, as Principal(s), and ac-
knowledged to me that -he- executed the same as -h_ free act and deed.
(Notarial Seal)
Notary Public,
County,
My commission expires
CORPORATE ACKNOWLEDGMENT
STATE OF <-n1~~.A~/O
COUNTY o---;T---4~ ./
On the /91"H-
)
ss
)
personatly appeared
to me known, who being by me duly sworn, did depose and say: that he resides in
that he is the President of the
,19
9~
,before me
the corporation described in and which executed the foregoing instrument; that he knows the seal of said corpo-
ration; that the seal affixed to said instrument is such corporate seal; that it was so affixed or f the board
of directors of said corporation; and that he signed his name the 0 by lik or er. ...
- '"
~~:n~A~.../1
U~
~-/tfZ.-9JY
Notary Public,
County,
(Notarial Seal)
My commission expires
ACKNOWLEDGMENT OF CORPORATE SURETY
STATE OF Iowa
COUNTY OF Linn
)
ss
)
On this
6th
day of
May
, 19q4
, before me
appeared Lois M. Schuchmann
to me personally known, who being by me duly sworn, did say that he is the aforesaid officer or attorney in fact
of the UNITED FIRE & CASUALTY COMPANY a corporation; th~t"the seal affixed to the foregoing instrument
is the corporate seal of said corporation, and that said instrument was signed and sealed in behalf of said corpora-
tion by the aforesaid officer, by authority of its board of directors; and the aforesaid officer acknowledged said
instrument tiJ: ~e the free act and deed of said corpora:::aryo p~::-, ;:;:X,1-cc. W~
f ~
. .
oW'_ County, Iowa
(Notarial Seal)
UND - 2067 b (9-78)
My commission expires
2-9-97
1I
.-ITED FIRE & CASUALTY COMP.
WliOME OFFICE - CEDAR RAPIDS, lOW
CERTIFIED COpy OF POWER OF ATTORNEY
(Original on file at Home Qffice of Company - See Certification)
KNOW ALL MEN BY THESE PRESENTS, That the UNITED FIRE & CASUALTY COMPANY, a corporation duly
organized and existing under the laws of the State of Iowa, and having its principal office in Cedar Rapids, State of
Iowa, does make, constitute and appoint Maynard L. Hansen, or Scott McIntyre, Jr., or R.G.
Heckroth, or J.A. Chapin, or Lois M. Schuchmann, or David A. Lange, or Russell L.
Webb, or David G. Dennis, or Judi A. Davis, or Meg C. Geater, or Connie J. Snyder,
or Robert L. Kollsmith, or Kurt E. Feller, or David S. Downey, All Individually.
of Cedar Rapids, Iowa
its true and law1ul Attorney(s)-in-Fact with power and authority hereby conferred to sign, seal and execute in its behalf
all lawful bonds, undertakings and other obligatory instruments of similar nature as follows:
--Any and all bonds--
and to bind UNITED FIRE & CASUALTY COMPANY thereby as fully and to the same extent as if such instruments
were signed by the duly authorized officers of UNITED FIRE & CASUALTY COMPANY and all the acts of said
Attorney, pursuant to the authority hereby given are hereby ratified and confirmed.
The Authority hereby granted shall expire September 21 19 95 unless sooner revoked.
This power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted
by the Board of Directors of the Company on April 18, 1973.
"Article V - Surety Bonds and Undertakings."
Section 2. Appointment of Attorney-in-Fact. 'The President or any Vice President. or any other officer of the Company. may.
from time to time. appoint by written certificates attorneys-in-fact to act in behalf of the Company in the execution of policies of
insurance. bonds. undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby. and
the Corporate seal. may be affixed by facsimile to any power of attorney or special power of attorney or certification of either
authorized hereby; such signature and seal. when so used. being adopted by the Company as the original signature of such officer and
the original seal of the Company. to be valid and binding upon the Company with the same force and effect as though manually
affixed. Such attorneys-in-fact. subject to the limitations set forth in their respective certificates of authority shall hav'e full power to
bind the Company by their signature and execution of any such instruments and to attach the seal of the Company thereto. The
President or any Vice President. the Board of Directors or any other officer of the Company may at any time revoke all power and
authority previously given to any attorney-in-fact.
IN WITNESS WHEREOF, the UNITED FIRE & CASUALTY COMPANY has caused these
presents to be signed by its vice president and its corporate seal to be hereto affixed this
21st day of
September
,A.D. 1993
UNITED FIRE & CASUALTY COMPANY
~~
By
State of Iowa. County of Linn. 55:
On this 21st day of September 1993, before me personally came John R. Cruise
to me known, who being by me duly sworn, did depose and say: that he resides in Cedar Rapids, State of Iowa; that he
is a Vice President of the UNITED FIRE & CASUALTY COMPANY, the corporation described in and which executed
the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such
corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and tpat
he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said
corporation.
!1~
-
r11U~~?!2cm~
My commission expires May 1 ,19 94
CERTIFICATION
I, the undersigned officer of the UNITED FIRE & CASUALTY COMPANY, do hereby certify that I have compared
the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the By-Laws of said Company
as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID COMPANY, and
that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney
has not been revoked and is now in full force and effect.
In testimony whereof I have hereunto subscribed my name and affixed the cor-
porate seal of the said
Company this 6th day of May
1994
~ ot{~a
Ass t . Secretary
(rev. 09-93)
von
PRODUCER
Pierce Agency. Inc.
P.O. Box 418
Litchfield MN 55355
COMPANIES AFFORDING COVERAGE
INSURED
~~~~~NY A
..__....................___....U.S-F...&G. ._______m....,.'''...
COMPANY B
LETTER
------..---~._-State_J.4'und,..Mutual
COMPANY C
LETTER
LaTour Construction. Inc.
2134 County Road 8 N.W.
COMPANY D
LETTER
COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY) DATE (MM/DD/YY)
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADEJc ........ OCCUR.
OWNER'S & CONTRACTOR'S PROTz
IMP30005627300
OS/28/93 OS/28/94
GENERAL AGGREGATE "'~7'OOO,.OOO
~~()~~~"fS:~()~P/()P.AGC3'..~.OOO, 000. ..
PERSONAL & ADV. INJUR~,..l.oooJoOO .
EACH OCCURRENCE ,..1,000,000-
FIRE DAMAGE (Anyone lire)..50,000
MED. EXPENSE (Anyone person)
AUTOMOBILE LIABILITY
A
A
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
IMP30005627300
OS/28/93 OS/28/94
COMBINED SINGLE
LIMIT
$
-1.000.000-..
$
A X
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
EXCESS LIABILITY
A X
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
IMP30005627300
OS/28/93 OS/28/94
EACH OCCURRENCE
AGGREGATE
..~ J 000,000..
~,OOO.OOO.
B
WORKER'S COMPENSATION
AND
STATUTORY LIMITS
000089.106
OS/28/93 OS/28/94
EACH ACCIDENT
DISEASE-POLICY LIMIT
- ...100,000..,
...~OOJOOO
EMPLOYERS' LIABILITY
OTHER
DISEASE-EACH EMPLOYEE
A
Installation
Coverage
IMP300056273-00 OS/28/92 OS/28/93 coverage
deductbl
50.000
1.000
DESCRIPTION OF OPERA TIONS/LOCA TIONSIVEHICLES/SPECIAL ITEMS
The Workers Compensation policy limit applies to accident and disease.
Addittonal Insureds a~e the.CttT of Albertville and Me er-Ro~ln 1nc. as
City of Albertville
Albertville MN 55301
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENT TIVES.
AUTHORIZED REPRESENTATIVE
..
..,
.