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HomeMy WebLinkAboutSHORT-ELLIOT-HENDRICKSON INC - INSURANCE CERTIFICATE (2)ACCORv CERTIFICATE OF LIABILITY INSURANCE 16-.� 10/1/2020 F DATE(MMIDDIYYYY) 1 9/27/2019 THIS CERTIFICATE IS ISSUED AS. A. MATTER OF INFORMATION ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATNELY 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 endorsenient(s). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 NAME:UUMIAUI PHONE AA; No EX : AA: No): eDDAIL N G COVERAGE NAIC 0 INSURER A: The Continental Insurance Company 35289 INSURED SHORT-ELLIOTT-HENDRICKSON, INCORPORATED 1467605 3535 VADNAIS CENTER DRIVE ST. PAUL MN 55110-5196 INSURER B : National Fire Insurance Co. of Hartford 20478 INSURER C : - - - INSURER E INSURER r 0VFRAr:FS www"• r'FRTIFIr`ATF MI IMIRFR• l AZ'71.5AZ RFVICIAW MI IuCCD• YYYYYYY THIS IS TO CERTIFY THAT THE', POLICIES OF INSURANCE. LISTED BELOW,HAVE.BEEN ISSUED TO THE INSURED NAMED ABOVE FOR. THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY 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 TYPE OF.INSURANCE ADDL SUER POLICY NUMBER POLICY EFF. POLICY EXP 10/1/2020 LIMITS__. A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N N 6079420587 10/1/2019 EACH OCCURRENCE 1,000,000 PREMISES Ea occcuaence 500,000 MED EXP_(Any.one rson 15,000 PERSONAL 6 ADV INJURY $ _ 1,000,000 _ GENT AGGREGATE'. LIMIT APPLIES PER: POLICY Ea FT LOC OTHER: GENERAL AGGREGATE $ 2000,000 PRODUCTS-COMP/OP AGG $ 2.000.000 $ _ A AUTOMOBILE LIABILITY X ANYAUTO AU OWNS ALITOSULED AUTOS ONLY AUOTN03 ONED N N 6079420699 10/1/2019 10/1/2020 COMBINED SINGLE LIMIT - $ 1. 000 000. BODILY INJURY (Per person) $ x}(}(J{.X.�'. BODILY INJURY (Per accident! $ )Ci{Xa{xxX PPROPo DAMAGE $ XXXXXXX .. _ -$. A jC UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE N N 6079420590 10/1/2019 10/1/2020 EACH OCCURRENCE $ 10,000,060 AGGREGATE $ 10 QOO OQO DED I X I RETENTION $10,000 $ XXXXX} x ]3 AND EMPLOYERWORKERS S'UABIUTY YIN ANY PROCER/MEMBER EXCLUDRIE ECUTNE N❑ flitznda ry in Nln If undw DESdRia PATIO O OPERATIONS belay N/A N 6079421254 10/1/2019 10/1/2020 X STATUTE OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE -POLICV.LIMIT It 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks. Schedule, may be attached if more space Is required) - Certificate Holder is Additional Insured with regards to General Liability when required by written contract. ,,Cr% l lr'RrA 1 C r1VLUCR _ GANGCL-AI IVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16321563 AUTHORIZED REPRESENTATIVE City of Fort Collins Fort Collins MN 80521 ACORD 25 (2016/03) ©1 8-2016 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD