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Client:/:!:: 38272 PETEMECH .AC.DBDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDNY) OS/24/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Acordia Mountain West, Inc(CL) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1020 36th Street S.W. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Fargo, ND 58103 701 280-8860 INSURERS AFFORDING COVERAGE INSURED I INSURER A: ACUITY A Mutual Insurance Company Peterson Mechanical Inc INSURER B: Travelers Indemnity Co. of America P. O. Box 302 ~ -- INSURER C: Fargo, ND 58107-0302 INSURER D: , INSURER E: COVERAGES 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ! POLICY EFFECTIVE LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDNY DATE MMlDDNY 09/01/04 09/01/05 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY , CLAIMS MADE X i OCCUR K00820 EACH OCCURRENCE i $1,,0 0 0, 000 ! FIRE DAMAGE (Anyone fire) $1,0_0, 000 MED EXf>.(".ny one person) $ 5 ,0 0 0 I PERSONAL & ADV INJURY $lJ 000, Q 0 0 , GENERAL AGGREGATE , $2 , 00 QIO 0 0 i PRODUCTS - COMP/OP AGG r $2 , go 0 , 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X j~T LOC A AUTDMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS X Drive Other Car ,K00820 o 9/ 0 1/ 04 0 9 / 0 1/ 0 5 I COMBINED SINGLE LIMIT l- (Ea accident) I BODILY INJURY (Per person) BODILY INJURY (Per accident) $1,000,000 $ $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT EA ACC A EXCESS LIABILITY X OCCUR K00820 09/01/04 I i 09/01/05 I , ! EACH OCCURRENCE OTHER THAN AUTO ONLY AGG $ $ $ 1$5 , 0 DO, 000 $5 LOOO l. 000 CLAIMS MADE AGGREGATE DEDUCTIBLE X RETENTION $0 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY lK00820 o 9/ 0 1 / 04 0 9/ 0 1 / 0 5 : X :T~~n~JI~S :~Jt; E.L EACH ACCIDENT 1$100, 000 c E.L DISEASE :EAE~t.1PLOYEEI $1 0 0 , 0 0 0 'E.L DISEASE - POLICY LIMIT' $500 , 000 ,09/01/04 09/01/05 $525,000. B OTHER Installation :QT660868K5621 Floater DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Cass County Vector Control, Vector Control Office, 1201 Main Avenue, West Fargo, ND, Mechanical Construction CERTIFICATE HOLDER AD 0 1TI0NAL INSURED; INSURER LETTER: CANCELLATION Cass County Government P. O. Box 2806 Fargo, ND 58108-2806 SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRAllON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30 DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAlLURE TODOSOSHALL IMPOSE NOOBLIGATION OR L URER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA IVE ACORD 25-S (7/97) 1 0 f 2 #S205736/M191947