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Home My WebLink AboutPrecision Landscape & Tree Inc - 26-22CITY OF OAK PARK HEIGHTS Rjc�ltfz� 14168OAK PARK BOULEVARD N. - OAK PARK HEIGHTS, MINNESOTA 5 082 (651) 439-4439 A 2 PdCT TREE WORKER'S LICENSE APPLICATI °AU "*Net LICENSE REQUIREMENTS: ♦ Please make sure that ALL ITEMS on Page 5 are submitted with application. ♦ Certificate of Insurance, minimum coverage, $1,000,000 combined single limit coverage, covering all operations of the applicant. THE CITY OF OAK PARK HEIGHTS MUST BE NAMED AS AN ADDITIONAL INSURED on this policy. ♦ Agreement to hold THE CITY OF OAK PARK HEIGHTS harmless for ALL claims of damage liability that may come against the license/permit holder. ♦ Proof of WORKERS COMPENSATION INSURANCE. ♦ State and Federal Tax Identification numbers pursuant to MN STATE STATUTE 270.72. ♦ The CONTRACTOR further agrees to adhere to all OSHA STANDARDS, UNIFORM TRAFFIC CODES and any CITY CODES AND STANDARDS that may apply to this license. Business Name '�c Baud &dcAI Business Mailing Address U - Z Z Phone Number Email Address Type of tree work to be performed: Fully Completed Applications Are Required, Including Worker's Compensation Insurance & Tax ID forms. Licenses expire at the end of the calendar year or upon expiration of liability or worker's compensation insurance. To Be Completed BV Cit : License Number 2(0' 42— LICENSE FEE: $50.00 Write Check Payable to: City of Oak Park Heights Licenses Will Be Mailed Upon Issuance Date Issued l — General Liability Expiration 5 h i 1.1p — Worker's Compensation Expiration ;%12,ka Page 1 LICENSE APPLICANT: Pursuant to Minnesota Statute 270.072 Tax Clearance; Issuance of Licenses, the licensing authority is required to provide the Minnesota Commissioner of Revenue your Minnesota business tax identification number and the social security number of each license applicant. Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we are required to advise you of the following regarding the use of this information: This information may be used to deny the issuance, renewal or transfer of your license in the event you owe the Minnesota Department of Revenue delinquent taxes, penalties orinterest; 2. Upon receiving this information, the licensing authority will supply it only to the Minnesota Department of Revenue. However, under the Federal Exchange of Information Agreement the Department of Revenue may supply this information to the Internal Revenue Service. 3. Failure to supply this information may jeopardize or delay the processing of your licensing issuance or renewal application. Please provide the following information and return along with your application to the agency issuing the license. Do not return to the Department of Revenue. Licensing Authority: The City of Oak Park Heights License Renewal Date: Annually (January VY through December 315t) Personal Information: (Complete only if applicable) Applicant's Name: Applicant's Address: City State Zip Code Social Security No.: Business Information: (Complete only if applicable) Business Name: Business Address: LJ ) Il LSI SO D Ua t 411U Ada H )y City State Zip Code Minnesota Tax Identification No.: Federal Tax Identification No.: � W (,40A9_ If a Minnesota Tax Identification number is not required, please explain: �drn� z 1 zs Signature Title Date Page 2 �A CITY OF OAK PARK HEIGHTS 14168 OAK PARK BOULEVARD N. OAK PARK HEIGHTS, MINNESOTA 55082 (651) 439-4439 PROOF OF WORKERS' COMPENSATION INSURANCE COVERAGE Minnesota Statue, Section 176.182, requires every state and local licensing agency to withhold the issuance or renewal of a license or permit to operate a business in Minnesota until the applicant presents acceptable evidence of compliance with the workers' compensation insurance coverage requirement of Section 176.181, subdivision 2. The information required is: the name of the insurance company, the policy number, and dates of coverage or the permit to self -insure. This information will be collected by the licensing agency and placed within their company file. It shall be furnished, upon request, to the Department of Labor and Industry to checkfor compliance with Minnesota Statue, Section 176.182, subdivision 2. Law requires this information; licenses and permits to operate a business may not be issue or renewed if it is not provided and/or is falsely reported. Furthermore, failure to provide or falsely reporting this information may result in a $1,000 penalty assessed against the applicant by the Commissioner of the Department of Labor and Industry to the Special Compensation Fund. Provide the information specified above, in the spaces provided, or certify the precise reason your business is excluded from compliance with the insurance coverage requirement for workers' compensation. Insurance Company (not the Insurance Agent): Policy Number or Self -Insurance Permit Number: Dates of Coverage: OR I am not required to have Workers' Compensation Insurance because: (check one) I have no employees covered by law Other (specify) I have read and understand my rights and obligations with regards to business licenses, permits and Workers' Compensation coverage and hereby certify by my signature below that to the best of my knowledge, the information provided is true and correct. ignature Business Name Date: �?�% l�17 �T Cv-5- 1 - 9 6 U 2% z ce Business Address Telephone Number: ( )_ Page 3 CITY OF OAK PARK HEIGHTS 14168 OAK PARK BOULEVARD N. OAK PARK HEIGHTS, MINNESOTA 55082 (651) 439-4439 INDEMNIFICATION AGREEMENT To: City of Oak Park Heights 14168 Oak Park Boulevard Oak Park Heights, MN 55082 NOTE: The following must be signed by an Officer of the Corporation or by the Owner and notarized. In consideration for the granting of this license, the license applicant agrees to hold the City harmless from all damages and claims of damage which may arise by reason of any negligence on the part of the Contractor or the Contractor's agents or employees engaged in the performance of this Contract/Permit, and will indemnify the City for the amount of all claims, liens, expenses and claims for liens of work, tool, machinery, materials or insurance premiums and for the amount of all loss by reason of the failure of the Contractor to fully perform its obligation under this Contract/Permit, including but not limited to attorney fees and costs incurred relative to such claims and losses. l L Z ZS- By: 4�pl& Date ❑rporate Officer or Individual Proprietorship Owner Subscribe and sworn to before me thisy2� day of ' , ,6+I Notary Public. �MCounty. My commission expires: L Z (Notary Seal/Stamp) JACOB J SANDQUIST Notary Public Minnesota My Commission Expires 01/31/2029 Updated 11.07.23 Page 4 CITY OF OAK PARK HEIGHTS 14168 OAK PARK BOULEVARD N. OAK PARK HEIGHTS, MINNESOTA 55082 (651) 439-4439 Tree Worker's License - Commercial License Addendum Calendar -Year License Fee: $50.00 Please make your check payable to City of Ook Pork Heights. RECIE L:® P. 2 qn2- City of Oak Park Heights Required Documentation: �/_T_r_e�w-__RP_gistr*_Attach a printout from the Minnesota Department of Agriculture Website showing your company's Tree Care Registry (link provided below), or other proof of your company's registry. ttp:llwww2. m da. state. m n. uslweba pp1'is isdefa u It. ism _£ertili e�and-Co .ierc+9 PrstrCide Applicators Licenses. Attach a printout from the Minnesota Department of Agriculture website (Fertilizer Companies with Commercial Pesticide Applicators Search- link provided below) showing your company's Fertilizer License No. and Licensed Commercial Pesticide Applicators, or other proof of your company's Fertilizer License and Licensed Commercial Pesticide Applicators. If your company does not have a Fertilizer License or Licensed Commercial Pesticide Applicators, please indicate. http://www2.md@.state.mn.us/webapP/Iis/cpestapp default.iss Attach printouts from the International Society of Arboriculture website (link provided below} ar copies showing each individual certified by the ISA and name the Certified Arborist(s) who will be directly supervising all work performed in the City. tt www.isa-arbor.com findanarborist veri as x ( ee w-e nsu . Provide a certificate of insurance covering all operations for the sum of at least one million dollars ($1,000,000) liability for bodily injuries or death to more than one person from one accident and for at least one million dollars ($1,000,000) against liability for damage or destruction of property. Policy shall provide that it may not be canceled by the insurer except after ten (10) days written notice to the City. Certificate holder should be listed as City of Oak Park Heights, 14168 Oak Park Blvd N, Oak Park Heights, MN 55082, jhultman@cityofoakparkheights.com. Updated 11.13.2019 Page 5 CITY OF OAK PARK HEIGHTS 14168 OAK PARK BOULEVARD N. OAK PARK HEIGHTS, MINNESOTA 55082 (651) 439-4439 Diseased Tree Care Treatment Notification Please provide this form to the City Arborist for treatment of any trees in the City of Oak Park Heights for the purpose of preventing or otherwise controlling the spread of disease. Make additional copies as necessary. Return form in person at City Hall or via email Idanielson2cityofoakparkheights.com Business Name (including contact information): Property Address: Tree Information: Type of Tree Location on Size Property Treatment Method T Chemicals Used Date of Proposed Treatments For City Arborist Use Date Reviewed: Signature: Comments: Page 6 I � ' a N 4 fr., Z! I C Nto r' I t rr_1 ►_Xi a 0 0 i CDP 0 0 MIDEPARTMENT OF AGRICULTURE -(1upt ,, T iccilc„fists {ill .i l'a�ii i_': iir.. (:o `t''ii New Search (default.j�jp). License Number: 20106146 License Type:TRO-. CARE REGISTRY_(_ss I Hiring a Tree Care Company �(iU[?:1L�v_�vw.ntda.slllte.mn.I.Ic:'hiringawccarrcontpmy,up-&). HAyIE ADDRESS? ADDRESSTCITY STA7 ZIP IODUWY OH RELAMONSHIP [PRECISION LANDSCAPE & TREE INO 150 SOUTH OWASSO BLVD Ej JUME CANADA MN 155117JRAIVISEY1REGIFRii-N-71 License Period iN[TIAL DATE€S fART8 ENDS 0210e12008 10110tIT0Te i i1T0 Categories CATEGORY A_NOKA CARVER CHWAGO DAKOTA GRANT HENNEPIN OTTER TAIL RAMSEY SAINT LOVIS WASHINGTON' The data within this site is public information as defined in Minnesota Statute& Chapter 13 (http://w%vw.revisor.€eg,statc.nin.ush"tats/13!) (Minnesota Government Data Practices Act). Information provided lists all individuals or companies who hold licenses, certificates, and/or permits required by state law and regulated by the Department. Additionally, LIS lists all companies who must register products with the Department before being used or sold in commercial channels within the state. Note: The data on this site is real time and therefore constantly changing. MDEPARTMENT OF (�11ti 'ILL'LL 1L'.InCla.4=ali.illll.ilti) I AGRICULTURE New Search (default.jsp) License Number:20247119 License Type:C'C?iu4itill R( iAI_ PI STI�'1TAPpI_LC1lfi11? (t ! _ c t : Yli' sy = ), NAME DRESSi ADDRESS2 CITY STATH ZIP COUNTY PHON RELATIONSHIP HELMUELLt3t, SHAUN M �$EE aU$lNESS A�ORESS — LICENSE HOLDE [PRECISION LANDSCAPE & TREE INC 50 SOUTH OWASSO BLVD E LITTLE CANAD ,MN 55117 RAMSEY — JEMPLOYER License Period INITIAL aATE START$ ENDS OL9f10l2823 ,p4101I202B 1213112025_ Categories CODOCAMORY RECERT BY ,4 ]CORE 12/31/2026 IE TURF AND ORNAMENTALS 12/31/2026 'i INATAREAS, FRSTRY. RGHTS OF WY 12/31/2026 The data within this site is public information as defined in Niinnc5nt;1,Stataucc ten r 13 (hu:!Iwwmccyis�rieg.state.mn.us/stats/l31) (Minnesota Government Data Practices Act). Information provided lists all individuals or companies who hold licenses, certificates, and/or permits required by state law and regulated by the Department. Additionally, LIS lists all companies who must register products with the Department before being used or sold in commercial channels within the state. Note: The data on this site is real time and therefore constantly changing. MINNESOTA DEPARTMENT OF AGRICULTURE MINNESOTA DEPARTMENT OF AGRICULTURE COMMERCIAL PESTICIDE APPLICATOR HELMUELLER, SHAUN M PRECISION LANDSCAPE & TREE INC 50 SOUTH OWASSO BLVD E LITTLE CANADA MN 55117 20247119 01/01/2025 12/31/2025 License Number Effective date Expiration date HELMUELLER, SHAUN M PRECISION LANDSCAPE & TREE INC 50 SOUTH OWASSO BLVD E LITTLE CANADA MN 55117 20247119 $76.00 12/3112025 License Number License Fee Paid Expiration date MINNESOTA DEPARTMENT OF AGRICULTURE TREE CARE REGISTRY PRECISION LANDSCAPE & TREE INC ATTN KIM LOGER 50 SOUTH OWASSO BLVD E LITTLE CANADA MN 55117 20106146 01/0112025 Registration No. Effective date PRECISION LANDSCAPE & TREE INC ATTN KIM LOGER 50 SOUTH OWASSO BLVD E LITTLE CANADA MN 55117 625 ROBERT STREET NORTH, ST. PAUL, MINNESOTA 55155-2538 COMMERCIAL PESTICIDE APPLICATOR HELMUELLER, SHAUN M PRECISION LANDSCAPE & TREE INC 50 SOUTH OWASSO BLVD E LITTLE CANADA MN 55117 license Categorie CORE TURF AND ORNAMENTALS NAT AREAS, FRSTRY, RGHTS OF WY 20247119 $76.00 01 /0112025 12/31/2025 License Number License Fee Paid Effective date Expiration date This certificate must be posted in a conspicuous place and is not transferable. AG-00053 In accordance with the Americans With Disabilities Act, an altemative form of communication is available upon request. - I MINNESOTA DEPARTMENT OF AGRICULTURE 625 ROBERT STREET NORTH, ST. PAUL, MINNESOTA 55155-2538 TREE CARE REGISTRY PRECISION LANDSCAPE & TREE INC ATTN KIM LOGER 50 SOUTH OWASSO BLVD E LITTLE CANADA MN 55117 t +: - 1 12/31/2025 t f Expiration date Y 20106146 $25.00 12/31/2025 Registration No. Registration Fee Expiration date 20106146 $26.00 01 /01/2025 12/31/2025 Registration No. Registration Fee Effective date Expiration date This registration must be posted in a conspicuous place and is not transferable. AC-00853 In accordance with the Americans With Disabilities Act, an altemative form of communication is available upon request The International Society of Arboriculture Hereby Announces That gacoh s'affdgHist Has Earned the Credential ISA Certified Arborist By successfully meeting ISA Certified Arborist certification requirements through demonstrated attainment of relevant competencies as supported by the ISA Credentialing Council Caitlyn Pollihan CEO & Executive Director 16 November 2021 31 December 2027 MN-4924A Issue Date Expiration Date Certification Number ANSI National Accreditation Board A C C R E D I T E D PERSONNEL CERTIFICATION BODY aos47 ISA Certified Arborist Certificate of Compliance Minnesota Workers' Compensation Law PRINT IN INK or TYPE. Minnesota Statutes, Section 176.182 requires every state and local licensing agency to withhold the issuance or renewal of a license or permit to operate a business or engage in any activity in Minnesota until the applicant presents acceptable evidence of compliance with the workers' compensation insurance coverage requirement of Minnesota Statutes, Chapter 176. The required workers' compensation insurance information is the name of the insurance company, the policy number, and the dates of coverage, or the permit to self -insure. If the required information is not provided or is falsely stated, it shall result in a $2,000 penalty assessed against the applicant by the commissioner of the Department of Labor and Industry. A valid workers' compensation policy must be kept in effect at all times by employers as required by law. BUSINESS NAME (Individual name only if no company name used) Precision Landscape and Tree, Inc DBA (doing business as name) (if applicable) LICENSE OR PERMIT NO (if applicable) BUSINESS ADDRESS (PO Box must include street address) I CITY STATE ZIP CODE 50 S Owasso Blvd E I Little Canada MN 55117 YOUR LICENSE OR CERTIFICATE WILL NOT BE ISSUED WITHOUT THE FOLLOWING INFORMATION. You must complete number 1, 2 or 3 below. NUMBER 1 COMPLETE THIS PORTION IF YOU ARE INSURED: INSURANCE COMPANY NAME (not the insurance agent) Midwest Employers Casualty Company WORKERS' COMPENSATION INSURANCE POLICY NO. 11-0001888 L EFFECTIVE DATE 03/01 /2025 NUMBER 2 COMPLETE THIS PORTION IF SELF -INSURED: ❑ I have attached a copy of the permit to self -insure. NUMBER 3 COMPLETE THIS PORTION IF EXEMPT: I am not required to have workers' compensation insurance coverage because: ❑ I have no employees. ❑ I have employees but they are not covered by the workers' compensation law excluded employees.) Explain why your employees are not covered: ❑ Other: EXPIRATION DATE 03/01 /2026 (See Minn. Stat. § 176.041 for a list of ALL APPLICANTS COMPLETE THIS PORTION: I certify that the information provided on this form is accurate and complete. If I am signing on behalf of a business, I certify that I am authorized to sign on behalf of the business. A TURE (mandatory) TITLE DATE Admin 03/13/2025 NOTE: If yo4 Workers' Compensation policy is cancelled within the license or permit period, you must notify the agency who issued the license or permit by resubmitting this form. This material can be made available in different forms, such as large print, Braille or on a tape. To request, call 1-800-342-5354 (DIAL-DLI) Voice or TDD (651) 297-4198. APPLICATION REVIEWED & ALL r a ITEMS HA E BEEN RECEIVED 2026 City of Oak Park Heights Tree Worker's License Application Checklist Company: P-eci' Date Received: !) ; -C:;'L- C Date Reviewed: '15/Z�, �_'-� V/2025 Calendar -Year License Fee CCA,7 $50.00 (Check payable to City of Oak Park Heights) �w 7s RegLuired Documentation: L3reTree Care Registry. Attach a printout from the Minnesota Department of Agriculture Website showing your company's Tree Care Registry (link provided below), or other proof of yo r comr�pany's registry. htt www2.mda.state.mn.us webs lis default.is FA rX:ertilizer and Commercial Pesticide Applicators Licenses. Attach a printout from the Minnesota Department of Agriculture website (Fertilizer Companies with Commercial Pesticide Applicators Search- link provided below) showing your company's Fertilizer License No. and Licensed Commercial Pesticide Applicators, or other proof of your company's Fertilizer License and Licensed Commercial Pesticide Applicators. If your company does not have a Fertilizer License or Licensed Commercial Pesticide Applicators, please indicate. http-,//www2,mda.state.mn.us/webapP/i-is/cpestapp default. ®' ISA Certifications. Attach printouts from the International Society of Arboriculture website (link provided below) or copies showing each individual certified by the ISA and name the Certified Arborist(s) who wiII be directly supervising all work performed in the City. J01«,(, r.di ", sr �/L ` q y� http://www.isa-arbor.com/findanarborist/verify-aspx V Certificate of Liability Insurance. Provide a certificate of insurance covering all operations for the sum of at least one million dollars ($1,000,000) liability for bodily injuries or death to more than one person from one accident and for at least one million dollars ($1,000,000) against liability for damage or destruction of property. Policy shall provide that it may not be canceled by the insurer except after ten (10) days written notice to the City. Certificate holder should be listed as City of Oak Park Heights, 14168 Oak Park Blvd N, Oak Park Heights, MN 55082, jhultman ci ofoak arkhei hts.com. NOTES/COMMENTS: Updated 11.12.25 CERTIFICATE OF LIABILITY INSURANCE 7DATE,I(MMIDDfYYYY) I06/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lynn Otto NAME: AssuredPartners of Minnesota LLC PHONE (651) 644-7200 (651) 644-9137 Nv ExS : it Hv 2685 Long Lake Road ADDRESS lynn.otto@assuredpartners.com INSURER(S) AFFORDING COVERAGE NAIC # St. Paul MN 55113 INSURERA: Western National Mutual Insurance Company 15377 INSURED INSURER B : Midwest Employers Casualty Company 23612 Precision Landscape and Tree, Inc INSURER C : 50 Owasso Blvd INSURER D : INSURER E: Little Canada MN 55117 INSURER F : rooTlnrnrc kIHRAQ1=D• 2025126 Master Precision RFVISIDN NUMBER - THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SU5K WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE /'\ OCCUR DAMAGE TO RERTET__ PREMISES Ea occurrence $ 100,000 Contractual Liab & XCU Included x MED EXP (Any one person) $ 5,000 A CPP111690110 05/01/2025 05/01/2026 X PD$1,000.Ded per Claim PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY Fx_1J`E'CT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 $ Cyber Liability-1 $ 50,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accldenO $ 1,000,000 BODILY INJURY (Per person) $ X ANYAUTO BODILY INJURY (Per accident) $ A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY CPP111459310 05/01/2025 05/01/2026 PROPERTYDAMAGE Per amwent $ Underinsured motorist $ 500,000 X UMBRELLA �/ /� OCCUR EACH OCCURRENCE $ 2,000.000 A EXCESS LIAR CLAIMS -MADE UMB1019072 10 05/01/2025 05/01/2026 AGGREGATE $ 2,000,000 DED I X1 RETENTION S 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 11-0001888/ EWC010188 03I01l2025 03/01/2026 PER EITH- STATUTE ER E.L EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ It yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) r.FRTr1=Ir.ATF HnLnFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Oak Park Heights ACCORDANCE WITH THE POLICY PROVISIONS. 14168 Oak Park Blvd. N. AUTHORIZED REPRESENTATIVE &46m,Oak Park Heights MN 55082 U 1958-205 AGUKU GUKrUKAI IUN. AU rignLs reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD