Loading...
HomeMy WebLinkAbout473287 SHORT-ELLIOTT-HENDRICKSON INC - INSURANCE CERTIFICATE (2)ACORD,N CERTIFICATE OF LIABILITY INSURANCE 09izi2007 PRODUCER (952)893-1933 FAX (952)893-1819 H. Robert Anderson & Assoc., Inc 4600 West 77th Street Suite 105 Edina, MN 55435 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 INSURERS AFFORDING COVERAGE NAIC # INSURED Short -Elliott -Hendrickson, Inc. 3535 Vadnais Center Drive St Paul, MN 55110 INSURER XL Specialty Insurance Co. INSURERS INSURER INSURER D NSURERE COVERAGES 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR 400 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE IMMIDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1IP.p $ CLAIMS MADE ❑ OCCUR MED EXP (Any one person) IS PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ POLICY J CT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea ..,dent) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE (Per emdenl) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO $ AUTO ONLY AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OFTIR I EMPLOYERS LIABILITY ANY PROPRIEIURIPARTNEPoEXECOTwE E L EACH ACCIDENT IS EL DISEASE -EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? 11 yes describe under SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $ A Professional Liability DPR9604866 10/01/2007 10/01/2008 Each Claim/ $5,000,000 Annual Aggregate $10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS `10 days notice of cancellation if reason is non-payment of premium. City of Fort Collins 300 LaPorte Ave Fort Collins, MN 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER 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 INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED 94PRES11ENTATIVE m `ct/._/ �3-' - lJ ACORD 25 (2001/08) ©ACORD CORPORATION 1988 ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE 9/21BU//D07Y1 PRODUCER 952-830-3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wells Fargo Insurance Services of Minnesota, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 4300 MarketPointe Dr #600 COMPANIES AFFORDING COVERAGE COMPANY A Federal Insurance Co Bloomington, MN 55435 INSURED SEH Inc COMPANY B Nationwide Mutual Insurance Co Short -Elliott -Hendrickson, Inc 3535 Vadnais Center Drive COMPANY C Cincinnati Insurance Cc St Paul, MN 55110 COMPANY I D COVERAGES 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYY) POLICY EXPIRATION DATE IMM/DD/YYI OMITS A GENERAL LIABILITY 35829618 10/01/07 10/01/08 GENERAL AGGREGATE $ 2000000 X PRODUCTS COMP/OP AGO $ 2000000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE I -XI OCCUR PERSONAL & ADV INJURY $ 1000000 EACH OCCURRENCE I 10000D0 OWNER S & CONTRACTOR S PROT FIRE DAMAGE (Any one fire) $ 10000DO MED EXP (Any one person) $ 10000 B AUTOMOBILEUABWTY ANY AUTO BA7111965099 10/01/07 10/01/08 COMBINED SINGLE LIMIT $ 1000000 X BODILY INJURY (Per perean) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per ecatlent) S HIRED AUTOS NON OWNED AUTOS X X Comp $500 PROPERTY DAMAGE $ X Coll $500 GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHER THAN AUTO ONLY ANY AUTO EACH ACCIDENT $ AGGREGATE $ C LIABILITY CCC1151890 10/01/07 10/QI/08 CH OCCU RRENCE 5 5000000 AEAGGREGATE 6 5000000 N�CIESS UMBRELLA FORM 6 OTHER THAN UMBRELLA FORM _ _ P WORKERS COMPENSATION AND X WC STATU OTH TORS IMITB ER EMPLOYERS UABILITY 71 7201 01 10/01/07 10/01/08 EL EACH ACCIDENT $ 1000000 EL DISEASE POLICY LIMIT $ 1000000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE - EA EMPLOYEE $ 1000000 OFFICERS ARE EXCL A OTHER BLANKET CONTENTS $8,721,400 REPLACEMENT COST INCL OFF PREM $1,000 DEDUCTIBLE SPECIAL FORM INCL THEFT DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS REGARDS GENERAL LIABILITY FOR WORK PREFORMED BY NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE THE CITY OF FORT COLLILNS EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 300 LA PORTE AVENUE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT FORT COLLINS, MN 80521 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO ORUGATWN OR UABWTY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES AUTHOfJIIL9'RfSF ACORD 25-S {1195� 70. 38 aACORD CORPORATION 1988