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Home My WebLink About473287 SHORT-ELLIOTT-HENDRICKSON INC - INSURANCE CERTIFICATE (3)SEH51650 ACORDr,. CERTIFICATE OF LIABILITY INSURANCE DAT 10/1/2D/YYVY) D/,/2699 PRODUCER Commercial Lines - (952) 830-3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Wells Fargo Insurance Services of Minnesota Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4300 MarketPointe Drive, Suite 600 Bloomington, MN 55435-5455 INSURERS AFFORDING COVERAGE NAIC # INSURED SEH, Inc. INSURER&. Federal Insurance Company 20281 INSURERS: Nationwide Mutual Insurance Company 23787 Short -Elliott -Hendrickson, Inc. 3535 Vadnais Center Drive INSuRER2 Cincinnati Insurance Company """""hub INsua_"o Chubb Indemnity Insurance Co. INSURER E.: SL Paul, MN 55110 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LTR ' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIODNY POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY 35829618 10/01/09 10/01/10 EACH OCCURRENCE $ 1.000,000 ED PAMAGES(F-mE TO ula $ 1.000,000 'X COMMEFCIAL GENERAL LIABILITY MED EXP(Any one person) S 10,000 CLAIMS MADE OCCUR PERSONAL &ADV INJURY S 1.000.000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S Induced Combined Total Aggregate 6,000,000 POLICY X JPR- CT x LOG B AUTOMOBILE LIABILITY ANY AUTO 7141965099 10/01/09 10/01/10 COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 X BODILY INJURY (Per person) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Peracculere $ GARAGE LIABILITY AD`0 ONLY � EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG C EXCESS/UMBRELLA LIABILITY XS1151890 10/01/09 10/01/10 EACH OCCURRENCE S 5,000.000 X OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 $ $ DEDUCTIBLE $ RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/BXECUTIVF- 71720101 10/01/09 10/01/10 X We STATU- OTB- E.L. EACH ACCIDENT S 1.000,000 E.L. DISEASE -EA EMPLOYEE 5 1,000,000 OFFICER/MEMSEREXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT IS 1,000,000 A OTHER Property 35829618 10/01/09 10/01/10 $8,821,400 Blanket Contents $1.000 Deductible - Replacement Cost Special Form Ind Theft DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS REGARDS GENERAL LIABILITY FOR WORK PREFORMED BY NAMED INSURED WHEN REQUIRED BY WRITTEN CONTRACT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 300 La Porte Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins MN 80521 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ,,In an 14 /onnSlnul e _v n 258958 •t'�4/-^. o AA'QORD CORPORATION 198F IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25•S (2001/08) 2 of 2 #S915260/M915043