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HomeMy WebLinkAboutSHORT-ELLIOTT-HENDRICKSON INC - INSURANCE CERTIFICATEA� ®® CERTIFICATE OF LIABILITY INSURANCE °ATE`YN�°`YYYY' 9126/2.019 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 be endorsed. If SUBROGATION IS WAIVED suLSject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rightslo the certificate holder in lieu of such endorsements . PRODUCER- - .- H..ltobert Anderi3ba'and ABsociatesj Inc. 8201 Norman Center Drive- Suite 220 Bloomington MN 55437 NAME: CONTACT Jeanne Daameier. - - - - PHONE (M)893-1933 No): .MAIL -MAID ADDRESS:. INSURERS AFFORDING. COVERAGE NAICA INSURERA:XL Specialty Insurance Co. 37885 INSURED Short -Elliott -Hendrickson, Incorporated 3535 Vadnais Center Drive St. Paul MN- 5511.0 INSURER B : INSURER C : INSURER D: INSURERE: INSURERF:. rnVFRAr.Fs rFRTIFIrATF-hIIIMRFR-2019 - 2020 1 REVISION NUMBER: 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 LTR TYPE OF INSURANCE-_ _ ADDL SUER _ POLICY NUMBER. POLICYEFF PMLICY EXP LIMITS COMMERCIIL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR _ DAMAGE TO RENTED PREMISES fEa occurrence $ MED EXP (Any one person) $ _ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:., GENERAL AGGREGATE $ - . PRODUCTS-COMP/OP AGG $ POLICY jEC7 LO'C _ $. OTHER: ... .... ._.. ._.- ..- - AUTOMOBILELIABILITY _ - COMBINED SINGLE LIMIT Ea accident .$ ' BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS.. NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accidem $ UMBRELLA LWB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AN Y PROPRIETOR/PARTNER/EXECUTIVE PER - -OTH= STATUTE ER E.L. EACH ACCIDENT $ — DFFlCERlGfEI!!DEP. EXCLUDED? - N / A , (Mandatory In NH) E.L.DISFJtSE -.EA EMPuiYE $ 8 yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -.POLICY LIMB $ A Professional Liability DPR9949499 10/1/2019 10/1/2020 Each Claim/ $5,000,000 Each Policy Year Aggregate $10,000,.000 DESCRIPTION OF OPERATIOIiS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) - ... . ... This certificate or memorandum of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy.. rFRTIFIreTF Nni nFR rANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED. POLICIES BE CANCELLED BEFORE City of Fort Collin 300 LaPorte Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, Xx 80521 AUTHORIZED REPRESENTATIVE - ACORD 25 (2014/01) INS025 (261401) ©1988-2014 ACORD CORPORATION; All rights resetVea. The ACORD name and logo are registered marks of ACORD