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<br />CERTIFICATE OF COMPLIANCE <br />MINNESOTA WORKERS' COMPENSATION LAW <br /> <br />Minnesota Statute, Section 176.182 requires every state and local licensing agency to withhold <br />the issuance or renewal of a license or permit to operate a business or engage in an activity in <br />Minnesota until the applicant presents acceptable evidence of compliance with the workers' <br />compensation insurance coverage requirements ofMSS Chapter 176. The information required <br />is: the name of the insurance company, the policy number, and dates of coverage, or the permit <br />to self-insure. This information will be collected by the City and retained in the files. <br /> <br />This information is required by law, and licenses and permits to operate a business may not be <br />issued or renewed if it is not provided and/or is falsely reported. Furthermore, if this <br />information is not provided or falsely stated, it may result in a $1,000 penalty assessed agairist <br />the applicant by the Commissioner of the Department of Labor and Industry. <br /> <br />Insurance Company Name: <br />(NOT the insurance agent) <br /> <br />P~iicy Number: <br /> <br />w ~ ~"7 <br />o~t..I 0 2 ~ ~ ~.{)~ <br />1/~ lOb TO V~/~'] <br />(OR) <br /> <br /> <br />Dates of Coverage: <br /> <br />I am not required to have workers' compensation liability coverage because: <br /> <br />o <br /> <br />I have no employees <br /> <br />o <br />o <br /> <br />I am self-insured (include permit to self-insure) <br /> <br />I have no employees who are covered by the workers' compensation law <br />(these include: spouse, parents, children and certain farm employees) <br /> <br />I certify that the information provided above is accurate and complete and that a valid <br />workers' compensation policy will be kept in effect at all times as required by law. <br /> <br />Name: <br /> <br />-p,uR.e h l-e.. r <br />[First] [Middle] [Last] <br /> <br />Name of Business: ee..n-k.r 'IYl A...r /; <br /> <br />Business Address: /,? ~ / mttt-; f) ~. <br /> <br />(1.t'\ Ie.r u r ) \'" J <br />[City] <br /> <br />Business Phone: l>S 1- -9.;:Jd. - 1RRtJ <br /> <br />D~r+ <br /> <br />n1n. <br />[State] <br /> <br />.s-SD.3 ~ <br />[Zip] <br /> <br />0./J_:r l <br /> <br />n. <br /> <br /> <br />61v/ <br />