HomeMy WebLinkAbout473287 SHORT-ELLIOTT-HENDRICKSON INC - INSURANCE CERTIFICATEACORD�"�RT1F[CJtT�F LIASILIT''
��uirE DATE(MM/DD/YY)
PRODUCER
5/10/07
952-830-3000
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wells Fargo Insurance Services
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
of Minnesota, Inc.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
4300 MarketPDinte Or #600
Bloomington, MN 55435
COMPANIES AFFORDING COVERAGE
COMPANY
A Federal Insurance Co
INSURED
SEH Inc.
COMPANY
B Nationwide Mutual Insurance Co
Short -Elliott -Hendrickson, Inc.
3535 Vadnais Center Drive
COMPANY
C Cincinnati Insurance Co
St. Paul, MN 55110
COMPANY
D
C{VERAL ES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
INDICATED,
777
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
NOTWITHSTANDING ANY REQUIREMENT, TERM CONDITION
PERIOD
OF ANY CONTRACT OR
OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY ISSUED OR MAY PERTAIN, THE INSURA
RA NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE
TO ALL THE TERMS,
BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
DATE (MM/DDlVV)
DATE (MMIDD/YY)
LIMITS
A
X ERAL UABILITY
35829618
10/01/06
10/01/07
GENERAL AGGREGATE
$ 2000000
COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP/OP AGG
$ 2000000
CLAIMS MADE � OCCUR
OWNER'S &CONTRACTOR'S PROT
PERSONAL & ADV INJURY
S 1000000
EACH OCCURRENCE
$ 1000000
--
FIRE DAMAGE (Any one fire)
$ 1000000
B
AUTOMOBILE LIABILITY
BA71 1 1965099
MED EXP (Any one person)
$ 10000
X
10/01/06
10/01/07
ANY AUTO
COMBINED SINGLE LIMIT
$
ALL OWNED AUTOS
1000000
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
X
Comp $500
X
Coll $500
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
C
EXCESS LIABILITY
CCC1151890
10/01/06
10/01/07
AGGREGATE
$
X
UMBRELLA FORM
EACH OCCURRENCE
$ 5000000
OTHER THAN UMBRELLA FORM
AGGREGATE
$ 5000000
Q
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU- i !OTH-1
X
S
717201 D1
5/11/07
5/11/08
TOR Y LIMITS ER
THE PROPRIETOR/
EL EACH ACCIDENT
$ 1000000
PARTNERS/EXECUTIVE
OFFICERS ARE:
INCL
EL DISEASE - POLICY LIMIT
$ 1000000
EXCL
Q
OTHER
ELDISEASE - EA EMPLOYEE
$ 1000000
BLANKET CONTENTS
INCL. OFF PREM
$11,515,374 REPLACEMENT COST
$1,000 DEDUCTIBLE
SPECIAL FORM INCL. THEFT
DESCRIPTION
OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL
ITEMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED AS REGARDS GENERAL
FOR WORK PREFORMED BY NAMED INSURED AS REQUIRED BY WRITTEN
LIABILITY
CONTRACT
CEIiTdFYCiATE tiOLL>EFi
LANCE( liTl(]N
CITY OF FORT COLLILNS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
300 LA PORTE AVENUE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
FORT COLLINS, MN 80521
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 REPRESENTATIVES.
AUTHO
ACOAiJ �S-a^ f 1I95?
71j. 3�
®ACORD:CORPi>RA1'ION '1988,