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<br />03/14/2005 15:57 6012610014 <br />H~ce~Y90: 9/2~/O~ 9~SB; <br /> <br />THE UPS STORE 2758 <br /> <br />Sep.22. 2005 3:52AM LJwrence-Bonmbach <br /> <br />No 7553 <br /> <br />PAGE 01 <br />p. I <br /> <br /> <br />ACDRD~ CERTIFICATE OF LIABILITY INSURANCE "'Tn~ 5 <br />TMlS CtiRTIFICATE IS lSSUBlIlS A MATTER of INFORIIlATION <br />ON~ V AND CONFERS NO RlCIITS UpOll THE CI'RTIACATE <br />HO\,.IlER. THIS CtiRTIFlCATE DOS!! NOT .........0. EXTEND OR <br />ALTER THE COVERAGE AfFORDED In' THI! POUClES BELOW. <br /> <br />~NCE-BOHKBACH AGENCY INC <br />BASTINGS MN <br />C/OI MIDWEST GENERAL AGENCY <br />3300 BIRCH S'1' <br />EAU CLAIRE WI 54702-5420 <br /> <br />...UIIEO <br />FJl.ITZ WILLIl\MS DBA FlUTZ' S <br />TREE SERVICE <br />7 ~ 17 COLORADO AIlE N <br /> <br />EXCAV;!l.TIN" ... <br /> <br />IN!!!!.~_~FfOROING COIIEllAGE <br />,_" PBNN STAR INSURAlI <br />I"'I'IURERII: <br /> <br />COMPANY <br /> <br />NAIe# <br />o <br /> <br />INBUfteRC< <br /> <br />I.tROOJa.Y)l PAlIK MN 55443 <br /> <br />COWl'AGI!'S <br /> <br />THE POUClES OF fNSURANCE USTEDB~LOW HAVE: BEEN ISSUED TO THE INSUREO NAMEol\eove ~aR. T~ PO\.JC'V PERlDO lNOICA.-reo.NOtWI1HSTANOING <br />ANY REQUIREMENT. T'EFW OR commoN OF ANY CONTRACT OR OTHEFI: OOCUMe~T WlTI'1 RESPECT TO WHlCfol THIS CEFrrlFICA.le MAY 9E' '9SUEO OR <br />MAV PERTAIN, THE; IWSUPANOE AFF'OAnEO iSV 'rHt: F'oucreS OUCRt~D Hf!RE:IN IS Sl)BJECT TO All THE TEIWSI, E)(ClU~IOHS AND CONOrTlONS o~ SUCH <br />POUCles. AOORECAT~ UMITS artOVIIN ~y HAY';: 8~e:NRaOUCEO ey PAID ClAIMS. <br />.s. ,. ..~ noN <br />..m POLfC"'~ <br /> <br />.........'" <br />II\I8URGAIQ' <br /> <br />A <br /> <br />CDlERAl.l.lAIIILm' <br />X (:O~RC'AtGfNePW.t1ABlUTY <br />CL.AIMStolAOI! CXJ ~ <br /> <br />AC6498538 <br /> <br /> <br />c.-. <br />.1 000 000 <br />. 1Q.0., 000 <br />Id8)@CP "~one.pQ'1Qn 5 5 000 <br />PEMONAI.&AOVINJUftY 1$1 OO.~_'-OOO <br />~~~RelM'fE s2 000 000 <br />PRODOCn..COMRlOPoI'<GG.. s.2.~ 000 000 <br /> <br /> <br />AurnMOV~ 1.IA~LlTY <br />AfffAUTD <br /> <br />OOMel~~SlNGl..EUMl" <br />""0<<\0",,, <br /> <br />, <br /> <br />.AlL CWNEO,wTOO <br />S<hIIl>UlED "'"'" <br />HI~AlJTO!I <br />NON.r;JWNEDAlJrDS <br /> <br />BODILY 1NJl.ftr' <br />(l"'erpe$n'J <br /> <br />, <br /> <br />&oo1L'f'N..J1.Jm' <br />(F'8r-~j'Ill <br /> <br />. <br /> <br />PROP;'~O,a.t.\'.a.os <br />fPl!r"~) <br /> <br />,G~t\&,o'" J.-1/UIWfY <br />M'r^lrro <br /> <br />AUTOOM.Y' tAAcaDBff " <br />el'l,ACO S <br />""0 , <br /> <br />{)'!HER""'" <br />A,U1'OON1.Y. <br /> <br />EJ(CQIllU1t9RRl.,.\lWItlfl""f <br />OCCUR 0 ~!MISf.tAOE: <br /> <br />&ACH~~~ <br />I AO~~~ <br /> <br />, <br />, <br />. <br />. <br />. <br /> <br />oroocT!fill1i. <br /> <br />, <br />~1CI,R8CQ~ll.TlOM...1Ul <br />I;M'LOYERS'l.lAaa.fI"t' <br />Nff~~I:R'ElI;ECuTIvE. <br />OFf.lCE!Md[M8fA~ <br />11 ,ltna'ilJI:IJJfId<< <br />" <br />""'"" <br /> <br />e ATU. (JI1+ <br />R .. <br />1!".L~I-1.6.CClO1N'f $ <br />E.L.OIl!E!ASE.E;Af..MPLO't~ .! <br />G.LOl&biIoSGl~ t <br /> <br />bell(':QP'1'tOH ~ orl!JlAnO~Jl~TJI:'Hs I,VEHICOr..G!.a tV(Ct.U,.oNS "!JI~bln'eNDCIRHlH!tI'T Il';pW;C,^I..PROVlelOt4_ <br />TREE PRUNfllG,JU:PAXRING, TRX-ING <br />SNOW REMOVAL OF SIDEWALKS, PRIVATE PARKING LOTS ... DRI~AYS <br /> <br />ONLY <br /> <br />CERtiFICATE HOLDER <br /> <br />CANCE <br /> <br />$\'IovLll "'NT MT....Al!IOY1; OUCMlIiiD 1'OL.\elrt.'t liE CA.Hta.J..iID lJEf'ORI!'nIE EXPIRATDI <br />OAn~IK;CtI".1I4E r.s!4'~NQ I~ WILl.. PlQfAYO~ TO IllIAIL ~ I)A,.... WIlrrrat <br />NOTtC~ TI) THE CERl1F'!eATE HOI..DE~....ED 10 na: LBT.1lLIT p'AIWRQ TO no so ~ <br />.~ NO OBLIGATION OP I..WBL.JTl" OF ANY Km~ UPOll THE trISUftER. '" ,A,QIIN'1'1: D~ <br />1l(p~"""'ATJ\/l!Ili. <br />1l.l.1niDI(U:Ef1"Il~ <br /> <br />,~,.L 14:/ r;;?-. -- <br /> <br />eAcORD CORPOItATlO <br /> <br />1/188 <br /> <br />e ....CORD2$ (2G01IDBl <br />