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Agenda Packets - 2018/11/13
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Agenda Packets - 2018/11/13
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Last modified
1/28/2025 4:51:07 PM
Creation date
4/2/2019 10:14:01 AM
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MV Commission Documents
Commission Name
City Council
Commission Doc Type
Agenda Packets
MEETINGDATE
11/13/2018
Supplemental fields
City Council Document Type
City Council Packets
Date
11/13/2018
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AC"RLIV CERTIFICATE OF LIABILITY INSURANCE <br />DATE{MM1DptYYYYj <br />10/12/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the pollcy(Ees) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Laural Haessly <br />NAME: <br />Sherman Insurance Agency, Inc. <br />120 Bridgepoint Way, Suite C <br />PHONE <br />E t : (651) 451-1758 A C N. : (661) 455-3923 <br />E-MAIL laurai@shermanins.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />South Saint Paul MN 55075 <br />INSURERA: Pioneer Specialty <br />INSURED <br />INSURER B: GenStar <br />Curbside Waste, Inc. <br />INSURERC: <br />PO Bax 28266 <br />INSURER 0: <br />INSURER E: <br />Crystal MN 65428 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: CL18101214343 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBRI <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDNYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />X COMMERCIAL GENERALLIA131LITY <br />v <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />DAN/ GE TO RENTED 100,000 <br />PREMISES Ea occurrence $ <br />MED EXP (Any ane erson) $ 5,000 <br />PERSONAL&ADV INJURY $ 1,000,000 <br />A <br />CPP 1153764 <br />04/01/2018 <br />04101/2019 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRO - <br />POLICY ❑ LOC <br />POLICY Q <br />GENERALAGGREGATE $ 2,000,000 <br />PRODUCTS - COMPIOP AGG $ 2,000,000 <br />Employee Benefits $ 1,000,000 <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANYAUTO <br />A <br />OWNEDSCHEDULED <br />AUTOS ONLY AUTOS <br />CPP 1153763 <br />04101/2018 <br />04/0112019 <br />BODILY INJURY (Per accident) <br />HIRED ^ NON -OWNED <br />AUTOSONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Peraccident <br />PIP -Basic $ 20,000 <br />X <br />UMBRELLA LIAR <br />^ <br />OCCUR <br />I <br />EACH OCCURRENCE $ 1,000,000 <br />AGGREGATE $ 1,000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />UMB 1026690 <br />04101/2018 <br />04/0112019 <br />DED I X RETENTION $ 10,000 <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ONYCERIMEMB RfPARTNERIEXECUTIVE Y <br />OFFiCERlMEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WCV 1020632 <br />04/01/2018 <br />04/01/2019 <br />STATUTE EOR <br />E.L. EACH ACCIDENT $ 501}, 000 <br />E.L. DISEASE - EA EMPLOYEE $ 500,000 <br />E.L. DISEASE - POLICY LIMIT $ 500,000 <br />Vehicle - <br />B <br />Excess Umbrella Policy <br />IXG425622 <br />1011212018 <br />10/1212019 <br />2007 LaFrance $3,000,000 <br />55HANCY67 8246317 <br />DESCRIPTION OF OPERATIONS LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />I'i V LIJ t::!t <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Mounds of View ACCORDANCE WITH THE POLICY PROVISIONS. <br />2401 County Road 10 <br />AUTHORIZED REPRESENTATIVE <br />Mounds View MN 55112 <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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