1998-06-04 Insurance
"'SaJ
D 3535 VADNAIS CENTER DRIVE
200 SEH CENTER
ST. PAUL, MN55110
612490-2000
800325-2055
612490-2150 FAX
D 5909 BAKER ROAD
SUITE 590
MINNETONKA, MN 55345
612931-9501
800 734-6757
612931-1188 FAX
.6113S. FIFTH AVENUE
P.D. BOX 1717
ST. CLOUD, MN 56302-1717
612252-4740
800572-0617
612251-8760 FAX
D 421 FRENETTE DRIVE
CHIPPEWA FALLS, WI 54729
715720-6200
800472-5881
715720-6300 FAX
D 6410 ENTERPRISE LANE
SUITE 120
MADISON, WI53719
608274-2020
800 732-4362
608274-2026 FAX
D 2001 CLINE AVENUE N.
SUtTE 206
LAKE COUNTY, IN 46319
219838-7097
219838-7089 FAX
An Affirmative Action,
Equal Opportunity Employer
e
TO: Dave Lund
City of Albertville
RE: 1998 Fairfield Addition
We are
-t Enclosing
o Sending Under Separate Cover
1 Certificate of Insurance dated 06/04/98
For your
..ti Information/Records
o Action
REMARKS:
Debbie Gilyard
BY djg
J:lalbev\9708\corrljI29a-98. wpd
o Review
o Distribution
e
TRANSMITTAL
July 29, 1998
Date
A-ALBEV 9708.00
File Number
Albertville, Minnesota
Client
o As Requested
o Approval
o Revision and Resubmittal
Q708
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:::;:;.:.;.;.-.:.:-:. ;...:.:.:...:.:.:.:.:.:.;.:.:.;.:.=:.:.:.:;:;:::::::::::::;:;:::::;:::::;' ::::::;' ;.;::::-:.;:;:;.;.;./::::;:;.;.;:;:;.;.:-; ,';.:.;:;:::;.;.;:\)\;.;.;.;.;.}\\. -:.:::::\}t~~~{::;.....:..... :::::.:.\;.;.;-:.)...;::.>>:.:.:;:...}..}f>}}~:~:~:~.:.::;. .:;: :;..:'.::
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTlACATE
HOLDER. THIS CERTIACATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
APOLLO INSURANCE
28 S 11TH AV
POBOX 1206
ST CLOUD
AGENCY
MN 56302-1206
COMPANY
A
TRANSPORTATION INSURANCE CO
INSURED
R P UTILITIES
MIDTOWN 55
POBOX 829
ANNANDALE
INC
COMPANY
B
TRANSCONTINENTAL INSURANCE CO
II .'
'. ; \
~ji\\
MN 55302
ill
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<jjIIllU:N:rM,:j)ID:rm:tJm:r')rrI')~tM:'
COMPANY
C
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM D BOVE FOR THE POLICY PERIO
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUM NT WITH RESPECT TO WHICH THI
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE N I
EXCLUSIONS AND CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SHORT, ELLIOTT, HENDH1CK::>
CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFEcnYE POUCY EXPIRATION
Lm DATE (MMlDDIYY) DATE (MMIDDIYY)
GENERAL UABILITY 1073046728 3/31/98 3/31/99 GENERAL AGGREGATE $2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS. COMP/OP AGG $1, 0 0 0 , 0 0 0
CLAIMS MADE 00 OCCUR PERSONAL & ADV INJURY $1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000
ARE DAMAGE (Any one fi,e) S 100,000
MED EXP (Anyone person) 1$ 5,000
AUTOMOBILE UASILITY 1073046731 3/31/98 3/31/99 1/,000,000
X COMBINED SINGLE LIMIT
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X (Per accident) $
NON-OWNED AUTOS
I
PROPERTY DAMAGE i$
iZ
GARAGE UASIUTY AUTO ONLY. EA ACCIDENT I $
ANY AUTO OTHER THAN AUTO ONLY: !
EACH ACCIDENT i $
AGGREGATE I $
M"'" "'"~ 11073046759 3/31/98 3/31/99 EACH OCCURRENCE 1$1,000,000
X UMBREllA FORM AGGREGATE !$
OlliER lliAN UMBRELLA FORM I Is
WORKERS COMPENSATION AND 11073046745 3/31/98 3/31/99 Ig~'i
I c;MPLCiYC:RS~ UAa:i..afY 100,000
EL EACH ACCIDENT 1$
lliEPROPRIETORl X 1 500,000
INCL EL DISEASE.POLICY LIMIT 1$
PARTNERs/EXECUTIVE 1 100,000
OFACERS ARE: EXCL EL D1SEASE.EA EMPLOYEE I $
OlliER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLE:SISPECIAL ITEMS
PROJECT #96216: FAIRFIELD ADDITION, ALBERTVILLE, MN. CERTIFICATE HOLDER &
ENGINEER: SEH, ST. CLOUD, MN ARE ADDITIONAL INSUREDS FOR THIS PROJECT.
::Egftnf!9&~::M!2f.Pf~m:::):::::::).::):i):::):::::):::f::):::)):):::::)I:::::f:;.::):::::11f)'fi:::m:::'::,i:
CITY OF ALBERTVILLE
5946 MAIN AVE. N.E.
ALBERTVILLE, MN 55301
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, '30 rb.... . written mt.i.ce to t::tE
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