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<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE .OP ID P~ DATI: l~ <br />1\OB1:9-1 09/29/05 <br />PRODUCER THIS CERTIFICATE ISI8SUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERnFICATE <br />Dawson :Insw:anae HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />721 1st Avenue North, Box 1958 ALTER THE COVERAGE AFFORDED BY THE POLICIES 8ELOW. <br />rargo NO 58102 <br />Phone: 701-237-3311 INSURERS AFFORDING COVERAGE NAlC# <br />IlSURED INSl.R:R A. C~_ti ___. ~.. 10677 <br /> INSURER B: <br /> Robert Gibb , S~. :Ina. INSURER c: <br /> BuChanan :IDdustr es <br /> POBox 10188 INSURER D. <br /> rargo NO 58108 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HA.VE ElEEN ISSLED TO THE INSURED NAMED.ABOVE FOR lHE POLICY PERIOD INDICATED. NOTWITHSTilI'VlNG <br />/>NY REQUIREMENT. TERM OR CON:lrrlON OF /W'( CONTRACT OR OTHER DOCUI.ENTWITH RESPECT TO WHICH THIS CEImFICATE MAY BE ISSUED OR <br />1M Y PERTAIN. THE INSIJRA/IICE .AFFORDED BY THE POLICIES DESCRIBED H':REIN IS SUB.ECT TO ALL THE TERMS. EXQUSIONS />NO CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HA.VE BEEN REDUCED BY PAID CLAIMS. <br />LlR NSRI TYPE OF INSURANCE POLICY NUIIIlER DATE DATI: (llMliiiifflj" UMIT8 <br /> GENERAL UAIlIUTY E;AO-t OCaJRRENCE $1,000,000 <br /> f----- <br />A X ~ COMhERCIAL GENERAL L1ABILllY CPP0907014 03/01/05 03/01/06 PREMlSES(E~~~~nceJ $ 500,000 <br /> f----- :J CLAIMS MIlDE ~ OCCUR MED E>O' (Anyone person) $ 5,000 <br /> ~ CON!l.'EW::'.I!tmL LIAB PERSOI\IAL & NJV INJURY $1,000,000 <br /> ~ NO S!rOP cap GENERAL AGGREGATE $ 2 ,000 ,000 <br /> GEN'l AGGREGATE LIMIT APPliES PER: PRODUCTS - COMPIOP AGG $ 2 ,000 ,000 <br /> h POLICY /Xl ~8r n LOC <br /> AUTOMOIIILE LIABILITY CCM3INED SINGLE LIMIT <br /> I-- $1,000,000 <br />A ~ />NY AUTO CAP5816117 03/01/05 03/01/06 (Ea accidllllll <br /> ALL OWNED AUTOS BODILY INJl..RY <br /> f----- $ <br /> SCHEDULED AUTOS (Per personl <br /> :-- <br /> ~ HIRED AUTOS BODILY INJURY <br /> $ <br /> ~ NON-OWNED .AUTOS (Per accidertl <br /> PROPERTY OIlMAGE $ <br /> (Per accideftl <br /> GARAGE LIABILITY AUTO ON!.. Y - EA ACCIDENT $ <br /> q />NY AUTO OTHER 1HAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSA.IlIlRELLA LIABLITY E;AO-t OCaJRRENCE $ 5,000,000 <br />A ~ OCCLR D CLAIMS MADE CPP0907014 03/01/05 03/01/06 AGGREGATE $ 5,000,000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATlON AN> X !reRV L.IMllS I IUER <br />A EMPLOYERS' LIABl.ITY 'MC1918S99 03/01/05 03/01/06 $1,000,000 <br />IWY PROPRIETOR/PARTNERlEXECUTIVE EL EACH ACCIDENT <br /> OFFICERIMEMBER EXCLLOED? (:MN , SO) E.L. DISEASE - EA EMPLOYEE $1,000,000 <br /> If y.... describe under EL DISEASE - POLICY LIMiT $1,000,000 <br /> SPECiAL PROVISIONS bel"'" <br /> arHER <br />A Cri.me/Bmployee CCC0907014 03/01/05 03/01/06 500,000 <br /> Dishonestv <br />DESCRIP'T1ON OF OPERATIONS I LOCAllONS I VEHICLES! EXCUJIIION8 ADDED BY ENDORSEMENr !SPeCIAL PROVIlJIONS <br />Certificate Holder and ross Arahiteature axe additional insured with respeat <br />to tbeir interest <br /> <br />CERTIFICATE HOLDER <br /> <br />CASSC-6 <br /> <br />CANCELLATION <br />SHOlLD Nt( OF THE ABOVE DESCRIlED POLICIES BE CANCELLED BEFORE llE EXPlRAllON <br />DATI: THEREOF, THE IS8UNG INSURER WLL ENDEAVOR 10 MAL ~ DAYS WRITTEN <br />NOTICE TO THE CERTFICATI: HOLDER NAMED 10 THE LEFT, BUT FALURE TO DO so SHAlL <br />IlllPOSE NO OBLIGATION OR LIMILITY OF AH'f J<N) UPON llE 1N8UAER, IT8 AGENTS OR <br />REPRESENTATIVES. <br /> <br />;:STIVEr IYV <br /> <br />o ACORD CORPORATION 1988 <br /> <br />Cass county 9oveJ:DDeD.t <br />211 9th st S <br />rargo NO 58103 <br /> <br />ACORD 25 (2001108) <br />