ACORD ™ CERTIFICATE OF LIABILITY INSURANCE

DATE: 12/15/2006

PRODUCER

Advance Insurance Agency, Inc.

5241 Viking Drive, #200

Edina, MN 55435

(952) 842 – 1101

Fax: 952-831-0572

 

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.

 

THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.

 

INSURERS AFFORDING COVERAGE

INSURED

Dominic Young dba HVC Expedite

US DOT: 1593051 / MC: 589407

19 – 16th Avenue, North; Hopkins, MN 55343

Mailing:

Post Office Box 7; West Salem, WI 54669

 

INSURER A: Robert A Schneider Agency, Inc./Bell and Clements, Ltd. (CARGO) – NAIC# 163

INSURER B: PROGRESSIVE Insurance (NAIC# 123)

INSURER C:

INSURER D:

INSURER E:

COVERAGES: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LTR

TYPE OF INSURANCE

POLICY NUMBER

POLICY EFFECTIVE

DATE (MM/DD/YY)

POLICY EXPIRATION

DATE (MM/DD/YY)

LIMITS

B

GENERAL LIABILITY

 

05610527-0

1/22/2008

1/22/2009

EACH OCCURRENCE

$ 1,000,000

£ COMMERCIAL GENERAL LIABILITY

FIRE DAMAGE (Any one fire)

$

o CLAIMS MADE

o OCCUR

MED EXP 

(Any one person)

$

 

o ______________________________

 

PERSONAL & ADV INJURY

$

 

o ______________________________

 

GENERAL AGGREGATE

$

GEN’L AGGREGATE LIMIT APPLIES PER:

PRODUCTS – COMP/OP AGG

$

c POLICY

o PROJECT

o LOC

 

 

 B

AUTOMOBILE LIABILITY

05610527-0

1/22/2007

1/22/2008

COMBINED

SINGLE LIMIT

(Ea accident)

$ 1,000,000

o ANY AUTO

o ALL OWNED AUTOS

BODILY INJURY

(Per person)

$

P SCHEDULED AUTOS

o HIRED AUTOS

BODILY INJURY

(Per accident)

$

o NON – OWNED AUTOS

 

o ______________________________

PROPERTY DAMAGE

(Per accident)

$ incl

o ______________________________

 

 

GARAGE LIABILITY

 

 

 

AUTO ONLY –

(Ea Accident)

$

o ANY AUTO

OTHER THAN AUTO ONLY:

EA ACC

 

AGG

 

$

o ______________________________

 

$

 

EXCESS LIABILITY

 

 

 

EACH OCCURRENCE

$

o OCCUR o CLAIMS MADE

AGGREGATE

$

 

$

o DEDUCTIBLE

 

$

o RETENTION

 

$

WORKER’S COMPENSATION AND EM PLOYER’S LIABILITY

X/WC STATUTORY

LIMITS / OTHER

 

E.L. EACH ACCIDENT

E.L. DISEASE – EA EMPLOYEE

E.L. DISEASE – POLICY LIMIT

 A

OTHER

CARGO INSURANCE

BCM24127

 1/16/2008

1/16/2009

 POLICY LIMIT

$ 100,000

DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS

Expedited LTL Freight Delivery Service / 48 States / Scheduled Autos

CERTIFICATE HOLDER / ADDITIONAL INSURED; INSURER LETTER_Y_               CANCELLATION 10-Day Notice for Non-Payment of Premium

SAMPLE ONLY – CALL CHRIS BRIDENSTINE FOR A

COPY WITH YOUR NAME/INFO. HERE

(952) 842 -1101 – chris@4myinsuranceneeds.com

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.

AUTHORIZED REPRESENTATIVE

  Chris Bridenstine