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NORTH STAR DESTINATION STRATEGIES, INC.
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NORTH STAR DESTINATION STRATEGIES, INC.
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Last modified
1/22/2019 9:35:24 AM
Creation date
5/31/2016 2:31:55 PM
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Contracts
Company Name
NORTH STAR DESTINATION STRATEGIES, INC.
Contract #
A-2016-075
Agency
CITY MANAGER'S OFFICE
Council Approval Date
4/19/2016
Expiration Date
4/18/2018
Insurance Exp Date
12/12/2018
Destruction Year
2023
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NORTSTA-01 <br />KBARNITT <br />'`SII RSP CERTIFICATE OF LIABILITY INSURANCE <br />DATE 12111/2017r <br />12/11/2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />NAppME��pp:OT <br />Nashville (WE) / AssuredPartners NL <br />840 Crescent Centre Drive, Suite 300 <br />Franklin, TN 37067 <br />PHONE FAX <br />A/C, No, Ext): (615) 301-2500 (A/C, Na):(615) 301.2597 <br />E-MAIL <br />ESS <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURER A: Cincinnati Insurance Company 10677 <br />ECP 0289555 <br />INSURED <br />INSURER B: Cincinnati Indemnity Company 23280 <br />INSURER c: AXIS Insurance Company 37273 <br />North Star Destination Strategies, Inc <br />INSURER D: <br />209 Danyacrest Drive <br />Nashville, TN 37214 <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRFRu <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUEDTOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTWITH RESPECTTOWHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />AODLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />V <br />11/12/2077 <br />POLICY EXP <br />fMwD01YYYYi <br />11/12/2018 <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE rl OCCUR <br />ECP 0289555 <br />EACH OCCURRENCE <br />$ 1'000,000 <br />owTEO <br />PREMISES TO RENTED <br />$ 1,000,000 <br />MED EXP An one erson <br />$ 10,000 <br />PERSONAL 8 ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PES [7 LOC <br />GENERAL AGGREGATE <br />$ 2'000,000 <br />PRODUCTS-COMPIOPAGG <br />2,000,000 <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accldent <br />1,009,000 <br />$ <br />BODILY INJURY Per erson <br />$ <br />ANYAUTO <br />ECP 0289555 <br />11/12/2017 <br />11/12/2018 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident)$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />HIRED �( NON -O NED <br />AUTOS ONLY AUTOS ONLY <br />A <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 1'000'000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />ECP 0289555 <br />11/12/2017 <br />11/12/2018 <br />AGGREGATE <br />$ <br />DED RETENTION$ <br />1,000,000 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOR/PARTNERrEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatary in NH) <br />If yes, descrlbe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />EWC 0290922 <br />11/12/2017 <br />11/12/2018 <br />I PEROTH- <br />I STATUTE ER <br />E.L. EACH ACCIDENT <br />1,000,000 <br />E.L. DISEASE EA EMPLOYE <br />1'000'000 <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />C <br />Professional Liab <br />MCN000036991701 <br />07/24/2017 <br />07/24/2018 <br />Each Wrongful Act <br />1,000,000 <br />C <br />MCN000036991701 <br />07/24/2017 <br />07/24/2018 <br />Total Limit <br />2,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may beattached if morespacels required) <br />// <br />k in <br />w -y' (p <br />CERTIFICATE HOLDER nANrFI I ATInN <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Proof of Coverage <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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