HomeMy WebLinkAbout473287 SHORT-ELLIOT-HENDRICKSON INC - INSURANCE CERTIFICATEACORD,N
PRODUCER
Acordia
INSURED
4300 MarketPointe Dr #600
Bloomington, MN 55435
SEH Inc.
Short -Elliot -Hendrickson, Inc.
3535 Vadnais Center Drive
St Paul MN 55101
U. 5`�'^ S �. > 'tR DATE IMM/DD/YVI
10/03/06
952-830-3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANY
A
Federal Insurance Cc
COMPANY
B
Nationwide Mutual Insurance Cc
COMPANY
C
Cincinnati Insurance Cc
COMPANY
D
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.
CO I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE (MM/DD/VY) DATE (MM/DD/VY) LIMITS
GENERAL LIABILITY 35829618 10/01 /06 10/01 /07 2000000
A � X 'GENERAL AGGREGATE 5
COMMERCIAL GENERAL LIABILITY
71 CLAIMS MADE a OCCUR
OWNER'S &CONTRACTOR'S PRO7
PRODUCTS - COMP/OP AGG
$ 2000000
PERSONAL & ADV INJURY
is 1000000
EACH OCCURRENCE
$ 1000000
FIRE DAMAGE (Any one fire)
$ 1000000
MED EXP (Any one person)
9 10000
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
I HIRED AUTOS
NON -OWNED AUTOS
Comp $500
BA7101965099
10/01 /06
10/01 /07
COMBINED SINGLE LIMIT
$
1000000
X
RY
EBODILY
$
X
flVNX
$
PROPERTY DAMAGE
$
_
Coll $500
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
S
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
C
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
CCC1 151890 110/01/06
10/01/07
EACH OCCURRENCE
$ 5000000
AGGREGATE
$ 5000000
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: IHI EXCL
OTHER
71720101
5/11106
5/11/07
X TORV L MITS 15TH
EL EACH ACCIDENT
$ 1000000
EL DISEASE -POLICY LIMIT
$ 1000000
EL DISEASE -EA EMPLOYEE
$ 1000000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED AS REGARDS GENERAL LIABILITY
FOR WORK PREFORMED BY NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT
CITY OF FORT COLLILNS
300 LA PORTE AVENUE
FORT COLLINS, MN 80521
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVFS