Laserfiche WebLink
<br />Mar ,14 06 01: 09p <br /> <br />Bieganek Agenc~ <br /> <br />3206324523 <br /> <br />p.l <br /> <br />ACORD.. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />DA 11:: (MMtODIYYYY) <br /> <br />I'ROOUCffi (320) 632-9226 <br />BI.EGANEK AGENCY INC <br />211 N.E. 1st St. <br />P.O. Box 209 <br />L:ittle Fal.l.s <br /> <br />03/14/2006 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA nON <br />ONL v AND CONFERS NO RJGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEI'IO OR <br />ALTER THE COVERAGE AffORDED BY THE POLICIES BELOW. <br /> <br />MN <br /> <br />56345- <br /> <br />INSURERS AFFORDING COVERAGE <br />INSlJRERA NORTHLAND INSURANCE <br />INSURER B: Berkle Ri.sk <br />INSURER c: <br /> <br />NAIC# <br /> <br />INSURED <br />ScotL ~ & Justin Herol.d <br />4 Seasons Tree Care, Ine <br />26884 153rd St <br />PIERZ <br />COVERAGES <br /> <br />MN 56364- <br /> <br />INSURER D <br />INSURER E: <br /> <br />THE POLICIES Of INSURANCE LISTED BELOW HAVE BEeN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD lNDICATED_ NOTWITHSTANDING ANY <br />REQUIREMENT. TERM OR CONDI110N OF ANY CONTRACT OR OTHER DOCUMENT VIIITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICiES OLSCRlBEO HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONOITIONS OF SUCH POUCIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS. <br />INSR ADD'L PQUCY EFFECTIvE POLJCY EXPlRA nON <br />LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE (MWOUIYY) DA"'rE(MM!DONVI UM[TS <br />A ~t>lERAL UABlUlY CP461462 05/01/2005 05/01/2006 EAQ-iQCCURRENCE , l,OQO,OOO <br /> X COMMERCIAL GENERAL LIABILITY ~~~iJOE~~~IuE~ncel , 100,000 <br /> I CLAIMS MADE [!] OCCLlR / / / / MED EXP {AAvone persoo} $ 5,000 <br /> '- P~RSONAL II. ADV INJU'3_Y . 1,0001000 <br /> '- / / / / GENERAL AGGREGATE , 2,00~c'l.fl'l <br /> ~. <br /> nNLAG~nlllMIT nS PER PRODUCTS. COMPIOP AGG $ 2,000,000 <br /> PRO- / / / / <br /> POLICY Jf::CT LOC <br />A ~TOMOB1LE liABILITY CT 132142 01/26/2006 01/26/2007 COMBINED SINGLE LIMIT <br /> iEaacciden!} . <br /> '- ANY AUTO <br /> '- All OVVNED AUTOS / / / / BODILY INJURY 100,000 <br /> . <br /> ~ SCHfOULED AUTOS (Pffperson) <br /> - HIRED AUTOS / / / / 600ll Y INJURY <br /> $ 300,000 <br /> - NON-OWNEO AUTOS I (Per accident) . .- <br /> / / / / PROPERlY DAMAGE 100,000 <br /> {Perac;:ider.IJ , <br /> =FGE UAS'UTY AUTO Ot~IY - EAACCIDENT , ~-- <br /> ANY AlITO / / / / OTHER THAN EA ACC :I; <br /> AUTO ONLY AGG , <br /> OESSlUMBRELLA LtABIUY" , , / / . <br /> , , EACH OCCURHLNCE. <br /> _ OCCUR 0 CLAIMS MADE AGGREGATE S ~ .~ <br /> S <br /> .~ <br /> ~ ~EDucnBlE / / / / $ <br /> RETENTION S S <br />B WORKERS COUPENSA nON AND r_o follow direct 03/01/2006 03/01/2007 I T~~ItJWs I lO~lt <br /> EMPLOYERS' LIABILITY <br /> ANV PROPRIETOPJPAFr:TNCAJEXECUllVE' EL E.o..O-l AC~~NT , <br /> OFFICER/MEMBER EXCLUDED? from co / / / / EL DISEASE -F..AEMPlOYEE :> <br /> If yc~, describe under <br /> SPECIAL PROVISIONS below LL DISEASE - POLlCY lJMIT $ <br /> OTHER / / / / <br /> / / / / <br /> / / / / <br />DESCRIPTION OF OPERA nONSILOCATIONSNEHICLE;SiEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br />(651) 634-5137 fax <br /> <br />CANCELLATION <br /> <br />City of Arden Hills <br />License & Regulatory <br />1245 W Hwy 96 <br />Arden Hills <br />ACORD 25 (2001J08) <br />&}n.-_- JNS025 {0106j.OS <br /> <br />SHOULD ANY OF THE ABOVE DESCRIflElJ POUCIES BE CANCELl.ED BEFORE nlE <br />EXPIRATION DATE TliEREOF, !Hf: ISSUING INSURER 'WIL.L ENOEAVOR TO MAIL <br />10 DAYS WRITTEN NOTICE. TO THE CER"JIFICATE HOl.DE.R NAMED TO THE lEFT. aUT <br />fAILURE TO DO -50 SHAU IMPOSE NQ OBUGA nON OR UABRIT'l' OF ANY KINO UPON THE <br /> <br />ELECTRONIC lASER FORMS. INC - (flOO)327 -05<:5 <br /> <br /> <br />ORD CORPORATION 1988 <br /> <br />Services <br /> <br />MN 55112- <br /> <br />Pag~ 1 (>1:;' <br />