ACORD
™ CERTIFICATE OF LIABILITY INSURANCEDATE: 12/15/2006
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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 |
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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: |
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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. |
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INSR LTR |
TYPE OF INSURANCE |
POLICY NUMBER |
POLICY EFFECTIVE DATE (MM/DD/YY) |
POLICY EXPIRATION DATE (MM/DD/YY) |
LIMITS |
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B |
GENERAL LIABILITY
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05610527-0 |
1/22/2008 |
1/22/2009 |
EACH OCCURRENCE |
$ 1,000,000 |
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£ COMMERCIAL GENERAL LIABILITY |
FIRE DAMAGE (Any one fire) |
$ |
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o CLAIMS MADE o OCCUR |
MED EXP (Any one person) |
$ |
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o ______________________________
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PERSONAL & ADV INJURY |
$ |
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o ______________________________
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GENERAL AGGREGATE |
$ |
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GEN’L AGGREGATE LIMIT APPLIES PER: |
PRODUCTS – COMP/OP AGG |
$ |
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c POLICYo PROJECT o LOC |
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B |
AUTOMOBILE LIABILITY |
05610527-0 |
1/22/2007 |
1/22/2008 |
COMBINED SINGLE LIMIT (Ea accident) |
$ 1,000,000 |
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o ANY AUTO |
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o ALL OWNED AUTOS |
BODILY INJURY (Per person) |
$ |
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P SCHEDULED AUTOS |
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o HIRED AUTOS |
BODILY INJURY (Per accident) |
$ |
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o NON – OWNED AUTOS |
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o ______________________________ |
PROPERTY DAMAGE (Per accident) |
$ incl |
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o ______________________________
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GARAGE LIABILITY |
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AUTO ONLY – (Ea Accident) |
$ |
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o ANY AUTO |
OTHER THAN AUTO ONLY: |
EA ACC
AGG |
$ |
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o ______________________________
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$ |
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EXCESS LIABILITY |
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EACH OCCURRENCE |
$ |
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o OCCUR o CLAIMS MADE |
AGGREGATE |
$ |
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$ |
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o DEDUCTIBLE |
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$ |
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o RETENTION |
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$ |
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WORKER’S COMPENSATION AND EM PLOYER’S LIABILITY |
X/WC STATUTORY LIMITS / OTHER |
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E.L. EACH ACCIDENT |
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E.L. DISEASE – EA EMPLOYEE |
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E.L. DISEASE – POLICY LIMIT |
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A |
OTHER CARGO INSURANCE |
BCM24127 |
1/16/2008 |
1/16/2009 |
POLICY LIMIT |
$ 100,000 |
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Expedited LTL Freight Delivery Service / 48 States / Scheduled Autos |
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CERTIFICATE HOLDER / ADDITIONAL INSURED; INSURER LETTER_Y_ CANCELLATION 10-Day Notice for Non-Payment of Premium |
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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. |
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AUTHORIZED REPRESENTATIVE Chris Bridenstine |
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