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<br />ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID 1~ DATE (MMlDDIYYYY) <br />VONHROl 11/26/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Bremer Insurance - Casselton HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />POBox 310 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Casselton NO 58012 <br />Phone: 701-347-4485 Fax:701-347-5644 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Auto Owners Insurance 18988 <br /> INSURER B: <br /> Robert &for Barbara Von Hagen INSURER C: <br /> 14997 47 h St SE INSURER D: <br /> Leonard NO 58052 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSRC TYPE OF INSURANCE POLICY NUMBER p_o.ld~i~ ~fF_EJ:,:T1~E I P9!-LC-,YtFXPIRAT~~N LIMITS <br /> DATE MMlDDIYY DATE MMlDDIYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> X ]:7"'''''' ".",.... ~..,u" I PREMISES (E~~~~u~~nce) $ <br /> I CLAIMS MADE U OCCUR MED EXP (Anyone person) $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> n n PRO- nLOC <br /> POLICY JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> f-- $ <br /> ANY AUTO (Ea accident) <br /> f-- <br /> ALL OWNED AUTOS BODILY INJURY <br /> I--- $ <br /> SCHEDULED AUTOS (Per person) <br /> f-- <br /> HIRED AUTOS BODILY INJURY <br /> f-- (Per accident) $ <br /> NON-OWNED AUTOS <br /> f-- <br /> I--- PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> tJ OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND ITg~Y~~I~:~S I IU~~- <br /> ER <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFfiCER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> ~~~~I~!S~~~v~s?6~s below E.L, DISEASE - POLICY LIMIT $ <br /> OTHER <br />A Home Owners 4198104901 11/12/07 11/12/08 500000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Liabili ty in the amount of $500,000 has been extended to 5.91 acres located <br />at Lot 2 of the VonHagen Subdivision Sec 26/138/53 Walberg Township, Cass <br />County, North Dakota. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CASSC-l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL - DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />CASS COUNTY IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />P o BOX 2806 <br />FARGO NO 58108 REPRESENTATIVES. <br /> A ~~~ <br /> <br />ACORD 25 (2001/08) <br /> <br />@ ACORD CORPORATION 1988 <br />