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Home My WebLink AboutKraus-Anderson Construction Co 26-09CONTRACTOR LICENSE APPLICATION City of Oak Park Heights 14168 Oak Park Blvd. N. Oak Park Heights, MN 55082 TELEPHONE: DIRECT: (651) 351.1661 GENERAL: (651) 439-4439 - FAX: (651) 439-0574 Email: jhultman@cityofoakparkheights.com Business Name: Kraus -Anderson Construction Company Address: 501 South 8th Street Minneapolis, MN 55404 Telephone: ( 612) 332-7281 E-mail barb. Jensen Fax: ( krausanderson.com LICENSE REQUIREMENTS • Fee based on trade. State license is required for residential general contracting, roofing, plumbing and fire protection. Mechanical Contractors require MN State Surety Bond. • Certificate of Insurance, minimum coverage, $100,000 per person, Public Liability; $250,000 per accident, Bodily Injury; and $100,000 Property Damage. CITY OF OAK PARK HEIGHTS MUST BE NAMED AS AN ADDITIONAL INSURED on this polic . • Agreement to hold CITY OF OAK PARK HEIGHTS harmless for ALL claims of damage liability that may come against the license/permit holder. • Proof of WORKERS COMPENSATION INSURANCE if required, by law, to be carried. • State and Federal Tax Identification numbers pursuant to MN STATE STATUTE 270.72. • The CONTRACTOR further agrees to adhere to all OSHA STANDARDS, UNIFORM TRAFFIC CODES and any CITY CODES AND STANDARDS that may apply to this license. • License period: January 1 to December 31 of each year. Cancellation will occur upon failure to provided continued proof of insurance coverage_ _ LICENSE CLASSIFICATIONS: Blacktopping - $50 Building Moving -$50 Concrete and Masonry - $50 Excavating/Grading - $50 Pool Installation - $50 Irrigation System Installation - $50 X Commercial General Contractor - $50 Heating, Ventilation & A/C - $50 "Attach copy of MN Mechanical Bond Outside Sewer & Water -$50 Siding - $50 Signs & Billboards - $50 COMPLETION OF THE WORKERS COMPENSATION INSURANCE ANDTAX I.D. FORMS IS REQUIRED BEFORE A LICENSE CAN BE ISSUED. THESE FORMS ARE ATTACHED AND MADE PART OF THIS APPLICATION. Office Use Only: Liability Insurance Expiration: Worker's Comp. Insurance Expiration: _12 ,?- Mechanical Surety Bond ID: -- Mechanical Surety Bond Expiration: LEAD ID & Expiration: Date License Issued: P_ No. 2(, - A 9 LICENSE APPLICANT: Pursuant to Minnesota Statute 270.072 Tax Clearance; Issuance of Licenses, the licensing authority is required to provide the Minnesota Commissioner of Revenue your Minnesota business tax identification number and the social security number of each license applicant. Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we are required to advise you of the following regarding the use of this information: 1. This information may be used to deny the issuance, renewal or transfer of your license in the event you owe the Minnesota Department of Revenue delinquent taxes, penalties or interest; 2. Upon receiving this information, the licensing authority will supply it only to the Minnesota Department of Revenue. However, under the Federal Exchange of Information Agreement the Department of Revenue may supply this information to the Internal Revenue Service. 3. Failure to supply this information may jeopardize or delay the processing of your licensing issuance or renewal application. Please provide the following information and return along with your application to the agency issuing the license. Do not return to the Department of Revenue. Licensing Authority: City of Oak Park Heights License Period: Annual: January 1 through December 31 Personal Information: (Complete only if applicable) Applicant's Name: Applicant's Address: City Social Security No.: State Business Information: (Complete only if applicable) Business Name: Kraus -Anderson Construction Compan Business Address: 501 South 8th Street Minneapolis, MN 55404 City State Minnesota Tax Identification No.: 90-54104 Federal Tax Identification No.: 41- 0 8 0 8 7 5 7 If a Minnesota Tax Identification number is not required, please explain: Date: 11 / 2 0 / 2 5 Signature: Title: EVP / C00 Zip Code Zip Code ichard J. Jacobson INDEMNIFICATION AGREEMENT To: City of Oak Park Heights 14168 Oak Park Boulevard, N. Oak Park Heights, MN 55082 NOTE:The following must be signed by an Officer of the Corporation or by the Owner and notarized. In consideration for the granting of this license, the license applicant agrees to hold the City harmless from all damages and claims of damage which may arise by reason of any negligence on the part of the Contractor or the Contractor's agents or employees engaged in the performance of this Contract/Permit, and will indemnify the City for the amount of all claims, liens, expenses and claims for liens of work, tool, machinery, materials or insurance premiums and for the amount of all loss by reason of the failure of the Contractor to fully perform its obligation under this Contract/Permit, including but not limited to attorney fees and costs incurred relative to such claims and losses. 11/20/2025 Date By. ichard J. Jacobson, EVP/C00 Corp at Officer or Individual Proprietorship Owner Subscribed and sworn to before me this 20 day of November 2025 _ Notary Public. Hennepird County. My commission expires: January 31, 2031, Updated: 01-01-2018 Barbara J Jensen + _ Notary Public Minnesota My Comm{sslon Expires January U 2WI DATE (MM/DD/YYYY) ACaRf> CERTIFICATE OF LIABILITY INSURANCE 11 /12/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Certificate Department Kraus -Anderson Insurance Agency, Inc. PHDNE 952-707-8200 c NQ:952-890-0535 420 Gateway Blvd EMAIL Burnsville MN 55337 ADDREss: Cartificates kainsurance.Com INSURERISI AFFORDING COVERAGE NAIC # INSURED Kraus -Anderson Construction Co. 501 S 8th Street Minneapolis MN 55404 A: Travelers Property Casualty Co 25674 B : The Standard Fire Insurance Co 19070 C: INSURER E : INSURER F : nw�own_�c• /ICDTICIhATC AIIIAAQC0•GGnnQGA1 RFVICInN MIIMRFR- THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP INSR TYPE OF INSURANCE ADDLSUBR POLICYNUMBER MMIDD YYY MMIDDIYYY LTA Y LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y VTJEXGL5836B446 12/31/2025 12/31/2026 EACH OCCURRENCE $ 2.000.000 CLAIMS -MADE Fx_1 OCCUR PREMISES lEa occ rren $ 500,000 MED EXP (Any one person) $ NA X XCU X SIR $500,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4.000.000 PRODUCTS - COMP/OP AGG $ 4,000,000 POLICY E PRO- JECT FX] LOC $ OTHER: A AUTOMOBILE LIABILITY Y Y VTJ-CAP-5836B330 12/31/2025 12/31/2026 COMBINED SINGLE LIMIT $ 2,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Par accidenl $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ I $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N Y UBlL070152 12/31/2025 12/31/2026 X STATUTE ER" Loss Lmt25o000 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - POLICY LIMIT $1.000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Contractor License. The Certificate Holder is an Additional Insured under the Commercial General Liability when required by written contract.; Ir+ ATC LA 111 MCM f ATIrFI I ❑Tlnfd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Oak Park Heights ACCORDANCE WITH THE POLICY PROVISIONS. 14168 Oak Park Blvd. N. AUTHORIZED REPRESENTATIVE P.O. BOX 2007 Oak Park Heights MN 55082 V 7`JCtf-ZUlS AGVriu uunrunNl wrv. wU ngnts reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD