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A CERTIFICATE OF LIABILITY INSURANCE DATtl(MhUDOlYYYY) <br /> 1219 2013 • <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> BELOW. THIS CERTIFICATE FOF INSURANCE DOES NOT CONSTITUTE AECON CONTRACT BETWEEN THE ISSUING NSURER(S),TAUTHORI AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(lee)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endoreement(s). <br /> PRODUCER -OOj(TACT Jan!Alfsan <br /> Dawson Insurance Agency flNAACmn�o.e 1.701-237-3311 in.No 1701-232.4442 <br /> 721 1st Avenue North ooness:JoniRRDdawsonins.com <br /> Fargo ND 68102 INBURERIB)AFFORDING COVERAGE IIAIC M <br /> INSURER A:ND Insurance Reserve Fund ' <br /> INSURED CC-CO UN INSURER E 1 <br /> Cass County INSURER C t <br /> PO Box 2806 INSURER 0 t <br /> Fargo ND 58108 INSURER B 1 • <br /> INSURER P: <br /> COVERAGES CERTIFICATE NUMBER:572718336 REVISION NUMBER: <br /> WD <br /> INDICATED.CNOTWTHS ANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT EOR OTHER DOCUMENT MATH RESPECT TOLWHICH 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 /> Mk TPA OF INSURANCE aDOLBUrlr <br /> WVP POLICYNUMBER _POLICY EFp poucr <br /> RNYY MI00 LIMITS , <br /> A GENERAL 0L90727 0/1/2013 9/1/2014 EACH OCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY PREMISES IEa°miasmal $ <br /> 1 CWMB•MADE el OCCUR <br /> MED EXP(Any one person) $1,000 <br /> 'PERSONAL a ADV INJURY $ <br /> GENERAL AGGREGATE 8 <br /> OEN'LAGGREGGAA'T�E LIMIT APPLIES PER: PRODUCTS•COMP/OP AGO $ <br /> 7 POLICY 1 1,g T. fl LOG <br /> AUTOMOBILE LIABILITY %a tildM 3 <br /> _ ALLL L OWNED SCHEDULED BODILY INJURY(Per parson) <br /> ANY BODILYINJURY(Paraccident) $ <br /> WNE <br /> _AUTOS AqUTOS •PR3PPRT7�pAMAOE 8 <br /> _giros ED jeq( 9g6U <br /> HIREDAUTOS AUTOS $ <br /> UMERELLAUAD OCCUR EACH OCCURRENCE S <br /> — <br /> EXCESS LIAR CLAIMS•MADE ,AGGREGATE $ . <br /> CEO I 1 RETENTION S rA 7 S <br /> ORYUr� <br /> WORKERS COMPENSATION ITIT.I ITN. <br /> ._ AND EMPLoYSRS'LABILITY E.L.EACH ACCIDENT $ <br /> OFFICOIOMEM ER EEXCLUDE�ECUTNE� NIA <br /> OFFICER/MEMBER(Mendslory In NH) E.L.DISEASE-EA EMPLOYEE$ •I I describe under E.L.DISEASE•POLICYLIMIT $ <br /> DESCRIPTION OPERATIONS below , <br /> DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES(Attach ACORD 101,Addlllonal Remarks Schedule,If more apace U required) <br /> • <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 /> NDSU Facilities Management . ACCORDANCE WITH THE POLICY PROVISIONS, • <br /> . NDSU Dept.#3200 <br /> PO Box 8060 AUTHORIZED REPRESENTATIVE <br /> Fargo ND 88108 <br /> ve t-.'.. "'' • <br /> I ®1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2010106) The ACORD name and logo are registered marks of ACORD <br />