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HomeMy WebLinkAbout473287 SHORT ELLIOTT HENDRICKSON - INSURANCE CERTIFICATE73905 '�`� a CERTIFICATE OF LIABILITY INSURANCE DAs/ao 014 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 pollcy(les) must 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 NAME, Dorothy Stabler Commercial Lines - 952-242-3100 PHONE FAX -VC, No..EXD: 952-242-3058 (NC, 40. 866-723-7870 Wells Fargo Insurance Services USA, Inc. ADDRESS: dorolhy.stabler@wellsfargo.com 400 Highway 169 South INSURER(S) AFFORDING COVERAGE NAIC tl St. Louis Park, MN 55426 INSURERA; Hartford Casually Insurance Company 29424 INSURED INSURERB: Nationwide Mutual Insurance Company 23787 Short Elliott Hendrickson, Inc. Continental Casual Company INSURER C: Casualty CP Y 20443 3535 Vadnais Center Drive INSURER D: Hartford Fire Insurance Company 19682 St. Paul, MN 55110 INSURER E: _ INSURER F : COVERAGES CERTIFICATE NUMBER: 8232232 REVISION NUMBER: See below 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. INSR ADD L SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDe`YYY MM/DDIYYYY LIMITS q X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE nOCCUR 41UENQT9743 10/01/14 10/01/15 EACH OCCURRENCE DAMAGE TGRENTEU PREMISES Ea ouunence) $ two o Mo $ 300,000 MED EXP (Any ore person) 1 10,0M PERSONAL S ADV INJURY $ 1 000.13M GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 200eD00 POLICY ] JEC LOG PRODUCTS-COMP/OP AGG $ 2.000,000 Combined Total Aggregate $ 10,000000 OTHER: B AUTOMOBILE LIABILITY ACP7181965099 10/01114 10/01/15 COMBINED SINGLE LIMIT (Eaa4cLderU --------- $1,000,000 _ X S ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (PerawltleM) S X NON -OWNED HIRED HIRED AUTOS X AUTOS PROPERTY DAMAGE -Per accident) $ C X UMBRELLA LIAR X OCCUR L6011730036 10/01/14 10/01/15 EACH OCCURRENCE $ ? � AGGREGATE $ 7,000, 000 EXCESS LIAR CLAIMS -MADE DED X RETENTIONS 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' YIN ANY PROPRIETOR/PARTNER XECUTIVE OFFICERIMEMBER EXCLUDED? FN N I A 41WEQT9741 10/01/14 10/01/15 X PER OTH STATUTE __.ER E. L. EACH ACCIDENT s 1000,000 — - E.L. DISEASE - EA EMPLOYE S 1 000,000 (Mandatory In NH) I yas, desCdbe uMw DESCRIPTION OF OPERATIONSeel. E.L. DISEASE -POLICY LIMIT i i OW,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addlldnal Rename SCMdele, may be a .Iaed It ...Pa. le n0elead) Certificate Holder is Additional Insured with regards to General Liability when required by written contract. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 La Porte Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins MN 80521 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) 111111111111111111 IN1111111111IIIIII11111 II11111 1111111IIIIIII III ¢veo l nr vaooeorovovwororo'