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HomeMy WebLinkAbout473287 SHORT-ELLIOTT-HENDRICKSON INC - INSURANCE CERTIFICATE (10)SHORTINC2 ACORO® CERTIFICATE OF LIABILITY INSURANCE `�- DATE (M 9/19/20182018 YY) 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 policy(ies) must have ADDITIONAL INSURED provisions or 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 Commercial Lines USI Insurance Services National, Inc. CONTACT NAME:: Amy Bond PHONE 612-509-2007 FPX D No E AIC. No): ADDRESS: amy.bond@usi.com 8000 Norman Center Dr, Ste 400 INSURER(S) AFFORDING COVERAGE NAIC # Bloomington, MN, 55437 INSURERA: Continental Insurance Company 35289 INSURED INSURERB: Transportation Insurance Company 20494 Short -Elliott -Hendrickson, Inc. INSURER C 3535 Vadnais Center Drive INSURERD: St. Paul, MN 55110 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 13424035 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. INSRLTR TYPE OF INSURANCE IANSD iS R POLICY NUMBER (MM/�D.,,Y, (MM DDrYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XI OCCUR 6043204066 10/1/2018 10/1/2019 EACHOCCURRENCE S 1,000,000 AMAG RE nD PREMISES Ea occurrence S 500,000 MED EXP (Any one person) S 15,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [X] ECT 7 LOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMPIOP AGG S 2,000,000 S A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 6043204083 10/01/18 10/01/19 (Ea ac i COMBINEDEaSINGLE LIMIT Ea acc S 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S S A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 6011730036 10/01/18 10/01/19 EACH OCCURRENCE 5 $10,000,000 AGGREGATE $ $10,000,000 DED I X RETENTIONS 10,000 S B WORKERS COMPENSATIONLIABILITY AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBEREXCLUC C (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA 6043204116 10/01 /18 10/01 /19 X STATUTE EERH E.L. EACH ACCIDENT 1,000,000 j E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate Holder is Additional Insured with regards to General Liability when required by written contract. CERTIFICATE HOLDER CANCELLATION City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 La Porte Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins MN 80521 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD „'°°°' I 111l I 11l 1l 11$ 1E 1P 11 !ll IE� IE1E1 11[ 111 IIII 111 1l 11lllllll _.�._..