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ACO® DATE(MMIDDNYYY) <br /> CERTIFICATE OF PROPERTY INSURANCE 11!27!2019 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> PRODUCER GUNTAUT <br /> NAME; Scott Murphy <br /> Boulder Ridge insurance Ate No Ext: 763-200-9410 AUC,No: 763-208-7508 <br /> P O Box 59 ADDRESS: smurphy@boulderridgeinsumnce.com <br /> A Member Of Insurance Producers Network CUSTOMER to: <br /> Albertville MN 55301 INSURER(S)AFFORDING COVERAGE MAK S <br /> INSURED INSURER A: EMPLOYERS MUT CAS CO 21415 <br /> DISTINCTIVE IRON LLC INSURER B: <br /> 19128 INDUSTRIAL BLVD NW INSURER C: <br /> INSURER D: <br /> ELK RIVER MN 55330-2429 INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 2019.26.11.01 REVISION NUMBER: <br /> LOCATION OF PREMISES 1 DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> 19128 INDUSTRIAL BLVD NW <br /> ELK RIVER,MN 55330-2429 <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> WSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS <br /> LTR DATE(MM1DWYYY) DATE(MWDDNYYY) <br /> PROPERTY BUILDING $ 1,083,374(RC) <br /> CAUSES OF LOSS DEDUCTIBLES x PERSONAL PROPERTY $ 290,000(RC) <br /> BASIC BUSINESS INCOME $ <br /> BROAD $1,000 EXTRA EXPENSE <br /> SPECIAL $1,000 RENTAL VALUE $ <br /> EARTHQUAKE BLANKET BUILDING $ <br /> A WINO 5A46985 05!01(2019 05!01!2020 BLANKET PERS PROP <br /> $ <br /> FLOOD BLANKET BLDG&PP $ <br /> Property of Others S 278,353(RC) <br /> S <br /> INLAND MARINE TYPE OF POLICY $ <br /> CAUSES OF LOSS $ <br /> NAMED PERILS POLICY NUMBER $ <br /> CRIME $ <br /> TYPE OF POLICY $ <br /> S <br /> BOILER&MACHINERY 1 $ <br /> EQUIPMENT BREAKDOWN <br /> $ <br /> S <br /> $ <br /> SPECIAL CONDITIONS 1 OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may bre attached If more space is required) i{ <br /> -Description of Operations:Metal Fabrication Company ! , i ------- <br /> -Cynthia and Steven Hemmer are excluded from Workers compensation Coverage ALYSA RENEE LADUKE <br /> -Stored Materials Include:"fabricated structural steel materials"for the Cit of Elk River v <br /> -Project: Elk River City Ice Arena y fr `�` `m } � NOTARY PUBLIC-MINNESOTA <br /> ,�. My Comm.Exp.Jan.31,2024 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Elk River ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 13065 Orono Parkway AUTHORIZED REPRESENTATIVE <br /> ScoNMurphy <br /> Elk River MN 55330 <br /> 01895-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 24(2016103) The ACORD name and logo are registered marks of ACORD <br />