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109160 ROSENBAUER MINNESOTA LLC - INSURANCE CERTIFICATE
® DATE (MM,OD/YY1'Y) A CERTIFICATE OF LIABILITY INSURANCE 2/27/2015 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the PRODUCER Marsh & McLennan Agency LLC 7225 Northland Dr N #300 Minneapolis MN 55428 INSURED Rosenbauer Minnesota, LLC 5181 260th Street Wyoming MN 55092 Karen Swihart . 763-746-8208 Co COVERAGES CERTIFICATE NUMBER: 1839641343 REVISION NUMBER: 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. I�Tq TYPE OF INSURANCE ADDL INSD WVD POLICY NUMBER MMIDIriYYY POLICY O YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 630867K9860 /1/2015 3/1/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE %❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP (Any one person) $10,000 PERSONAL Is ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMPIOP AGG $2,000,000 POLICY JECT PRO ❑ LOC $ OTHER A AUTOMOBILE LIABILITY 810867K9860 I1/2015 I1/2018 Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ SCHEDULED ALL OWNED I HIRED AUTOS AUTOSAUTOS NON-O Par accident PROPERTYDAMA $ GarageKeepers $1,000,000 X Garagekeeper A X UMBRELLA LIAB X OCCUR CUP867K9860 /1I2015 /1/2016 EACH OCCURRENCE $15,000,000 AGGREGATE $15,000,000 EXCESS LWB CLAIMS -MADE DELI I X I RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE UB867K9860 1/2015 1/2018 H X PER TATUTE ER E.L. EACH ACCIDENT $SOO,000 E. L. DISEASE -EA EMPLOYE $500,000 __ OFFICER/MEMBER EXCLUDED? �NIA (Mandatory in NH) E.L. DISEASE -POLICY LIMIT $500,000 tt ns, describe under DESCRIPTION OF OPERATIONS below B Excess Liability 93636464 11/2015 �l1/2016 Occurence 10,000,000 Aggregate 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Certificate Holder is included as Additional Insured as required by written contract or agreement limited to the General Liability and Auto Liability coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason Street PO Box / 2nd Floor Fort Collins CO 80522 AUTHORIZED EPRESENTATIVE yt „ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD