g. Contract approval
Laserfiche
>
Public
>
County Commission
>
2014
>
05-05-2014
>
Consent agenda
>
g. Contract approval
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/1/2014 9:49:20 AM
Creation date
4/30/2014 11:25:59 AM
Metadata
Fields
Template:
Commission
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
24
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
N0V/19/2013/TUE 11 : 018 AM Tri County Ins. FAX No, 7012779068 P. 001 <br /> � r+ 1 ALLTERR-01 DEJE <br /> AC R°° CERTIFICATE OF LIABILITY INSURANCE DATE(MG9/bDYYYy) <br /> 7/2/2013 <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 poiicy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement(s). <br /> PRODUCER (701)277.1710 CONTACT vi -- <br /> t � NAME: Davin Gaard <br /> TCI Insurance art, <br /> PO Box 680 �wrc No Pitt(701)277-1710 cac,No:(701)277-9068 <br /> West Fargo,ND 68078-0680 ,ApDRfiss:dgaard@tciteam.com <br /> INSURER(S)AFFORDING COVERAGE - I NAIL S <br /> INSURER A:United Fire&Casualty Company <br /> INSURED All Terrain Grounds Maintenance Inc. INSURER s; <br /> 4663 13th Ave N INSURER C; <br /> Fargo, ND 58102 INSURER D: <br /> INSURER E: <br /> `v <br /> INSURER _,_ <br /> COVERAGES CERTIFICATE NUMBER: 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 /> ILTR TYPE OF INSURANCE INSSR lWD POLICY NUMBER (MM piD Y) (MMIDDJr L LIMITS <br /> OENERALLIABILITY <br /> FACH OCCURRENCE S 1,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY 60385389 7/31/2013 7/31/2014 pREM SES Ea occukrr0ence),_$ 1 00,000 <br /> CLAIMS-MADE TIC OCCUR MED EXP(My one person) s 5,000 <br /> PERSONAL a ADV INJURY 3 1,000,000 <br /> GENERAL AGGREGATE 5 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG 5 2,000,000 <br /> X POLICY LOC $ <br /> AUTOMOBILE LIABILITY 'MBII EDISINGLE LIMIT 3 1,000,000 <br /> A X ANY AUTO 60385389 7/31/2013 7131/2014 BODILY INJURY(Per person) $ <br /> ALL <br /> S <br /> AUTONED O <br /> AUTOSOLE BODILY INJURY Per accident) S <br /> NON-OWNED PROPERTY DAMAGE <br /> _ HIRED AUTOS _ AUTOS ■(PER ACCIDENT) 3 <br /> X UMBRELLALIAO X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A EXCESS LIAB CLAIMS-MADE 60385389 7/31/2013 7/31/2014 AGGREGATE s 1,000,000 <br /> OLD RETENTION 8 s <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y 1 N ,___.-IQRY LIMITS ER <br /> — <br /> ANY PROPRIETOR/PARTNER/EXECUTIVQ'�"") N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? u <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 3 <br /> Dyyes igkbe under EL.DISEASE.POLICY LIMIT $_ <br /> _ DESGIRIPTION Of OPERATIONS below <br /> A ND Employer Liability 160386389 7/31/2013 7/31/2014 31MIacc.$1M/Employee $2M/Aggregate <br /> DESCR/P'nON OF OPERATIONS 1 LOCATIONS/VEHICLES (Attach ACORD 101,Addldonai Remarks Schedule,It more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DE$CRIeEO POLICIES BE CANCELLEb BEFORE <br /> A11-Terrain Grounds Maintenance Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 4663 13th Ave N ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Fargo, ND 58102- AUTHORIZED REPRESENTATIVE <br /> ....■-•<"...-5,14-- -.C.__ """.=,-. ..--.---.0e•" ---4- <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2010/06) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.