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HomeMy WebLinkAboutGreyhound Lines Inc - Insurance Certificate 2025 002058 AcoRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/13/2024 FREPRESENTATIVE CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS IFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES W. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. RTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. ROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on ertificate does not confer ri hts to the certificate holder in lieu of such endorsements. Rsurance Services,LLC NAME: Vilay Vongsoury Meadows Road,Suite 240 PHONE503-943-6621 FAx ego,OR 97035 A/C No Ext: A/C No:503-943-6622 E-MAIL V ADDRESS:Vila y ongsoury@mcgriff.com INSURER(S)AFFORDING COVERAGE NAIC# INSURED — INSURER A:BUS Risk Retention Group Greyhound Lines,Inc. INSURER B AIU insurance 17324 PO Box 660632 ance Company 19399 Dallas,TX 75266-0362 INSURER C:National Union Fire Insurance Company of Pittsburgh,PA INSURER D: 19445 INSURER E: COVERAGES INSURER F CERTIFICATE NUMBER:J000R85Y THIS IS TO CERT TH IFY AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE—INSURED NAMED ABOVE FOR OR THE POLICY PER INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIODHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIO INSR NS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --LTR TYPE OF INSURANCE A UIN D WVD POLICY NUMBER POLICY EFF POLICY EXP A X COMMERCIAL GENERAL LIABILITY GL-RRG-001023 MM/DD/YYYY MM/DD/YYYY LIMITS 01/01/2025 01/01/2026 CLAIMS-MADE OCCUR EACH OCCURRENCE $ 10,000,000 PREMISES Ea occurrence $ 5,000,000 MED EXP(Any one person) $ GENT AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ 10,000,000 X POLICY❑PECTRO- LOC GENERALAGGREGATE $ 10,000,000 OTHER: PRODUCTS-COMP/OPAGG $ 10,000,000 A AUTOMOBILE LIABILITY L-RRG-001023 $ 01/01/2025 01/01/2026 COMBINED SINGLE LIMIT X ANY AUTO Ea accident $ 10,000,000 OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY AUTOS HIRED NON-OWNED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB $ OCCUR EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ DIED RETENTION$ AGGREGATE $ B WORKERS COMPENSATION 62790879 AOS) $ AND EMPLOYERS'LIABILITY Y/N 62790880 f CA) 04/01/2024 04/01/2025 X PER OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE STATUTE ER OFFICER/MEMBER EXCLUDED? N/A(Mandatory In NH) E.L.EACH ACCIDENT $ 3,000,000 If yes,describe under EA EMPLOYEE $ 3,000,000 DISEASE E.L. EASE- DESCRIPTION OF OPERATIONS below _ C Auto Liability L7281073 VA/NY) E.L.DISEASE-POLICY LIMIT $ 31000,000 L7281072(MA) 04/01/2024 04/01/2025 Combined Single Limit $ 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Sch Liability policy. edule,may be attached If more space Is required) $ RE:leased location at:250 Mason Street,Ft.Collins,CO.City of Fort Collins is included as Additional Insured in accordance with the policy provisions of the General CERTIFICATE HOLDER CANCELLATION SHO LD ANY OF THE RE PAUTHORIZED ON DATE VTHE EOF,ENOTICE I WILL ES BE C ENC DELIVERED ELLED OIN City of Fort Collins ITH THE POLICY PROVISIONS. 117 North Mason Street PO Box 580 Fort Collins,CO 80522 ENTATIVE USA ACORD 25(2016/03) The Page 1 of 1 @ 1988-2015 ACORD CORPORATION. All rights reserved. e ACORD name and Innn am