COIiQo"
COVERAGES CERTIFICATE NUMBER: 146044656 REVISION NUMBER:
DATE (T/DT"YYYN
6t17t2021
THIS CERTIFICATE IS ISSUED AS A IIATTER OF INFORTIATION ONLY AND CONFERS }{O RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIR}IATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONST]TUTE A CONTRACT BETWEEN THE ISSUIi'G INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER.
IMPORTANT: lf the certiticate holder is an AODITIONAL INSUREO, the policy(ies) must have AODfTloNAL INSURED provisions or be endorsed.
tf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, cenain policies may require an endorsemenl. A slatement on
lhis certlflcate does not confer rights to the certificate holder in licu ot Such endorse ).
PROI'UCER
csDz. LLc
225 South Sixth Street, Suile 1900
Minneapolis MN 55402
Kurl2
612-3224014
com
AFFORDING COVERAGE
nsuRER : Cincinnati lnsurance Company 10677
INSUREO
CBS Construction Services lnc
1'1124 Zealand Ave N
Champlin, MN 55316-3594
CBSCONSI rirsuRER B: SFM Mulual lnsurance Company 11347
rxsuRER c: MarkelAmeican lnsurance CompanY 28932
rxsuREi D: Hatlord Fire lnsurance Company 19682
INSURER E
INSUR€R F
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV€ FOR THE POLICY PERIOO
INDICATED. NOTUTHSTANDING ANY REQUIREMENT, TERM OR CONDiTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOW\ MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR 'aDDL-uBR POLICYEFF POLICY EXP(T'[DO/YYYY} (XT'DD/YYYY)LIMITS
PREMISES (Ea
X lcor*r-,"0p",
X I pom ro,,*c,
s1 000613012020 6/30/2021 E {cH occuRRENcEfTEPPol 36601
MEO EXP (Any m peMJ S 1 0,000
s 1,000,000
GENI AGGREGA]E LIMTT APPUES PEFTfl "o.,", lil ffi lil .o.
I orr.", -
A X COXTERCIALGENERALUASILTY
I o."*
PERSONAL A AOV INJURY S 1.OOO,OOO
GENERALAGGREGATE S2,OOO,OOO
PROOTTTS - COMPr'OP AGG S2.000.000
L] l ^r{Y
a.no
I OU ,ED
T--l HlREol l auros CNLY
EPP0136504 6BOn020 613012021 s 1 000.000
s
s
S
BOOTLY INJURY (Per F@n)
A AUTOTOBILE LABILITY
SCHEDIJLED
NOT,IOWNED
BOoILY INJURY (Per aei&no S
X UTBRELLALIAB
EXCESS TIAB
c
SOEDX
x occ EACHOCCURRENCE
AGGREGATE s 15,OOO,OOO
515.000.000613012020
613012020
6t30t2021
6t30t2021
EPP0136604
MKLM3EUElO0603
E.L. DISEASE - E:A EMPLOYEE $ 1,000,000
i 1.000.000E.L. OISEASE. POUCY LIMIT
B I{ORXERS COIPENSanoN
AND Ef,PLOYEFS LlABILlrY
ANYPROPRIETOR/PARINEFYEXECUTIVE
OFFICER/MEMgEREXCLUDED?(X.od.lory ln NH)
N s1 000
6/302020 6t30t2021I l01zE521e
E L EACH ACCIOENT
STATIIIE
ltcptgulos 6t3012020 613012021o Ea.h Clamr
DESCR|PT|(IN OF OPCRATTONS
'
L(lcAIOtlS / VEHTCLES (ACORD 1Ol, A.lrrftldl R.n..*. S.h.dub, y b..tr.ch.d almo..p.e b Eqeiod)
License/Permit Requirements
CERTIFICATE HOLDER CANCELLATION
SHOULD At{Y OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, I{OTICE WILL AE DELIVERED IX
ACCOROANCE WTTH THE POLICY PROVISIONS.
ffi;Hetu
O 1988-2015 AGORD CORPORATION. All right3 teserved.
The ACORO namc and logo are reglstsrsd marks ofACORDACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
X
$3,000,000
$3.000.000
s3.000.000
Prclessional liab / Claims Made
Polluion u.b / Claims Ma.,e
City of Chanhassen
7700 Market Boulevard
P.O. Box 147
Chanhassen MN 55317