Agenda - Council Work Session - 01/28/2020

Home

ACC]RI]� CERTIFICATE OF LIABILITY INSURANCE 16+-----' DATE(fAM16DlYYYYi 11/30/2019 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 1NSURER(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 15 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 endorsements). PRODUCER Thtelmann Insurance Agency 6481 Sj c3n1ore Ct N Suite 1 Maple Grove MN 55369 COIN TACT Tom Thie1marin NAME: Mfg. c Ertl (7E33) 746 8410 Ax (A/c,No): (7s3)7d"1" EMAIL Tom[, thielmanninsuranee. cam ADORES s: NAIL C INSURER(S) AFFORDING COVERAGE ENSURER A:Ffarl]ysville Ins Companies INSURED Hagen, Christensen & Mcilmain Architects PA 4201 Cedar Avenue South Minneapolis MN 55407 INSURER El:Underwriters at Lloyds, London 1122000 ENSURER C:Landmark Aneri,Cai1 Ins Company INSURER D : INSURER E: INSURER F1 COVERAGES CERTIFICATE NUMBER:2019/20 Pkg & Prof COI REVISION NUMBER: THIS 15 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL 'NB TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR LTR TYPE INSURANCE ADD_ INSD SUBR WV0 POLICY NUMBER POUCY EFF {MWT2DIYYYY1 POLICY EXP IMMIDS}IYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY X MPA 56155E 7/20/2019 7/20/2020 EACH OCCURRENCE $ I., 000 , 000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES {Ea occurrence} S ZOO , 000 MED EXP (Any one person) S 10,000 PERSONAL & ADV INJURY $ 1, 000 , D00 GENLAGGREGATE X LIM ITAPPLIES PER: POLICY ❑ JECTPRO- ❑ LDC OTHER. GENERAL AGGREGATE $ 2,000 , D00 PRODUCTS - COMP/OP AGG $ 1,000,D00 $ A AUTOMOBILE X IJABILITY ANY AUTO ALL i7NMED X SCHEDULED AUTOS NON -OWNED AUTOS X BA 58197E 7/20/2019 7/20/2020 COMBINED SINGLE LIMIT /Ea accident} $ 10000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per eccidenl) $ PROPERTY DAMAGE {Per aetident) $ $ A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 0.12 59851: 7/20/2015 7/20/2020 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000.000 DEO X RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y i N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFIC ERIMEMBER EXCLUDED? IMandalnryinNH) If yes. describe under DESCRIPTION OF OPERATIONS below N 1 A we 58328E 7/2D/201g 7/20/2020 R. PER OTH- STATUTE ER E.L- EACH ACCIDENT $ 1,000,000 EL 0I6EA$E-EAEMPLOYEE $ 1,000„000 E,L. DISEASE -POLICY LIMIT $ 1,000,000 H. 0 Prof L ab, Claims made $10,000 ded. AN21272595-19 LS2778237 08/04/2019 09/13/2019 06/04/2020 05/04(2020 Per Claim LIM $3,000,000 Aggregate limit $3,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached II more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR€ZED REPRESENTATIVE Thomas Thielmann/TOM d 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) 36