Agenda - Council - 05/27/1997 - Laserfiche WebLink

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CERTIFICATE OF INSURANCE DATE (MM/DD/YYI 11Ii] ,/96 PRODUCER ,,-:. ' JHC INSURANCE GP, OUP, INC. 35~.0 West 8~,th F:treet Suite 150 Minneapolis, }~N 55431 INSURED NORTH METRO HUMANE SOCIETY 1411 MAiN ST. NW COON RAPIDS, MN 55448 THIS CERTIFICATE IS ISSUED AS A MATTER OF LNFORMATION~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEmll HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR. ALTER THE COVERAGE AFFORDED BY TH.E POLICIES BELOW.~ COMPANIES AFFORDING COVERAGE I COMPANY A GENERAL STAR INDEM/~ITY 'TH}S INSURANCE IS ISSUED PURSUANT TO THE MINNES0 SURPLUS LIHES INSURANCE ACT THE INSURER IS AN ELIGIBLE SURPLUS LINES INSURER BUT IS NOT O'[RI::.RWISt: LICENS~O THE STATE OF MINNESOTA IN CASE OF iNSOLVENCY, PAYMEI OF CLAIMS iS NOT GUARANTEED.*- ' ' :{ THE POLIC'~' PERIOD PECT TO WHICH THIS ,_J POLICY EFFECTIVE POLICY EXPIRATION LIMITS / DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL AGGREGATE. I$ 1~ /19 ,; 9 7 PROOUCTS-COMP/OP AGG i$ 10/1~/~7 PERSONAL&ADV~NJURY i', EACH OCCURRENCE FI~E DAMAGE (Any one fire) $ 5 0 ~ '~-- MED EXp (Any one person) $ EX'CL COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per eccident) $ PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY; __~ EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE $ $ I STATUTORY LIMITS ~:ACH ACCIDENT DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE 10/19/97 BUILDING - S624,~,~ $25,~00. ~,IM.~ SPECIAL PERILS, 90% COINSURANCE S250. DEDUCTIBLE 01,] EMPLOYEE ON GF_.NE.RAL LIABILITY. COMPANY B COMPANY c COMPANY D COVERAGES 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 ~E 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. TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY __ CLAIMS MADE [~ OCCUR OWNER'S & CUNT PROT AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS UABILrrY UMBRELLA FORM OTHER THAN UMBRELLA FORM POUCY NUMBER IMA2!S356A--1 !MA216356A-i WORKERS COMPENSATION AND EMPLOYERS* UABIUTY THE PROPRIETOR,/ r'~ INCL PARTNERS/EXECUTIVE OFFICERS ARE: I I EXC[ mOTHER PROPEP, TY ~:,MP ~EN~FIT~ IMA216356A-1 !MA216356A-! DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CONTYNTS - S208,000. ACTUAL CASH VALUE, SS~. DEDUCTIBLE ON BUILDING & CONTENTS, BENE,~ITS, :;500. DEDUCTIBLE PER CLAIMANT 1G/19/96 10/19/96 !~/19/96 CERTIFICATE HOLDER CITY OF RAMSEY 15153 NOWTHEN RAMSEY, ~'~ ACORD 25-8 (3/931 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAiL 1 0 DAYS WRrCFEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFt, BUT FAILURE TO MAIL SUCH ,NOT1CE SHALL IMPOSE NO OBfJGATION OR UABIUTY OF ANY KIND UPON THE~COMPANY, ITS,AGENTS ~R"REPRESENTATIVES. AUTHORIZED REPRESENTA'F~tE.~.~.I~ . ~ ',~,~ "~ ! .... - " > oACORD CORPORATION 1993