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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 A.CORD....!l.e!a.mi!EII.. ...eQE....IZI~Bjllii....jNs :...:...........:.........,...:......:...:.:...VM..:....::.:.:.:.:....:..:.:..:.II......;...:..:.:.:........~...:..:.:...:......:...:...:.B...:....:....:.....:....:.:.:.::.:'.:..!..!;.I.,',.:..'.i.i...:!j.:..;.,:...:.,.:.:...;.....:.:....:.:...!.:.......:.'....';.:..'......:....'!.. ;~TE/~:O/D;Y8) :::;:;.:.;.;.-.:.:-:. ;...:.:.:...:.:.:.:.:.:.;.:.:.;.:.=:.:.:.:;:;:::::::::::::;:;:::::;:::::;' ::::::;' ;.;::::-:.;:;:;.;.;./::::;:;.;.;:;:;.;.:-; ,';.:.;:;:::;.;.;:\)\;.;.;.;.;.}\\. -:.:::::\}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 l't: ,ilt .t'; <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 .....))),i:):::f:)::::::::)ff:I:::)::)i:::))~~~):::!i')'E):)S)~.!:::!:::!!!fty:)a:!!i): .:...... SLEp:!ml, cr c:arn=> 11 Ed l:efar.:B tJ:E e:xpiI:atim &.te tl a:rof, cr fail to l::B n:n:w:rl tp.:I1 e:xpiI:atim, tJ:E ~ , '30 rb.... . written mt.i.ce to t::tE ~ ~l'''' p::lp(" .' .', nmrl DH A