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HomeMy WebLinkAboutBonestroo AR°® CERTIFICATE OF LIABILITY INSURANCE °11/01/2011 Y' 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,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 endorsement(s). PRODUCER I CONTACT NAME FRANK NORANTE AON REED STENHOUSE INC. 1 PHONE FAx talc,.rvo,EXt):1-800-444-3017 swc x_952-656-8834 AON RISK SERVICES CENTRAL,INC. ADDRESS:FRANK.NORANTECc�AON.COM 900-10025-102A AVENUE INSURER(S)AFFORDING COVERAGE , NAIL# EDMONTON,AB T5J 0Y2 INSURER A: ZURICH AMERICAN INSURANCE COMPANY J16535 INSURED BONESTROO INC., INSURER B: ZURICH AMERICAN INSURANCE COMPANY :16535 STANTEC CONSULTING SERVICES INC., [INSURER C ZURICH INSURANCE COMPANY ;16535 I 2335 HIGHWAY 36 W, ST PAUL, NSURERD: ZURICH AMERICAN INSURANCE COMPANY 16535 ■ MN 55113 INSURER E: r INSURER F: COVERAGES CERTIFICATE NUMBER: 474 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ---- _-- --- "_-- TADDL SUER _--_ POLICY EFF 1 POLICY EXP LTR TYPE OF INSR W VD POLIC Y NUMBER --- M/DD/YYYY�y(MMlDD/YYYY) LIMITS L A GENERAL LIABILITY X GLO 6556026 05/01/11 05/01/12 EACH OCCURRENCE I$ 2,000 000 DAMAGETORENTED -X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 300,000 CLAIMS-MADE X OCCUR 1 MED EXP(Any one person) $ 10 000 X CONTRACTUAUCROSS XCU COVER INCLUDED PERSONAL&ADVINJURY 1$ 2,000 000 X OWNERS&CONTRACTORS GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: i PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X BAP5940882 11/01/11 11/01/12 (Ea accident) 1$ 1,000,000 XANY AUTO ALL OWNED I SCHEDULED BODILY INJURY(Per person) I$ AUTOS . AUTOS - ---- --- - ---- BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE -- ! (Per accident) r HIRED AUTOS I $ _...._. _.__--__ .......__ ___.__. -____..._ ---_ -._."._ ._..- --_._ _._. .........--- -- -- a_$ - -- ----- C X UMBRELLA LIAB X II OCCUR , 8831307 05/01/11 05/01/12 X EXCESS LIAB EACH OCCURRENCE �,"$ 5,000 OOO CLAIMS-MADE EXCESS GENERAL,AUTO AND AGGREGATE ■$ 5,000,000 EMPLOYERS LIABILITY(FOLLOW $DED X RETENTION$10,000 FORM). D WORKERS COMPENSATION i WC5940881 11/01/11 11/01/12 X ITWC TLAMS1 04- AND EMPLOYERS'LIABILITY Y/N ------- ANY OFFICER/MEMBER/EXCLUDED?ECUTIV: N I 1 N/A E.L.EACH ACCIDENT NH) J E L.DISEASE EA EMPLOYEE $ 1,000,000 If yes, (Mandatory in and `-- $ 1,000,000 If yes,describe under --- ------- —.. __ ._. ._-.__._.. DESCRIPTION OF OPERATIONS below 1 E.L.DISEASE-POLICY LIMIT j$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) ST. PAUL, MN. BONESTROO/SCSI. RE: ALL WORK PERFORMED. CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED BUT ONLY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION CITY OF COLUMBIA HEIGHTS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 590-40TH AVENUE NE ACCORDANCE WITH THE POLICY PROVISIONS. COLUMBIA HEIGHTS, MN 55421 AUTHORIZED REPRESENTATIVE r ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD